| Shayna Mellesmoen, OD | |
|
9117 Lyndale Ave S, Bloomington, MN 55420-3522 | |
| (952) 835-1235 | |
| Not Available |
| Full Name | Shayna Mellesmoen |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 9117 Lyndale Ave S, Bloomington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104503382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3883 (Minnesota) | Primary |
| Provider Name | Chu Laser Eye Institute, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407977762 PECOS PAC ID: 4082644786 Enrollment ID: O20050812000430 |
| Provider Name | Elton Eyecare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811430226 PECOS PAC ID: 9032455936 Enrollment ID: O20190115000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna Mellesmoen, OD 8115 2nd Ave S, Bloomington, MN 55420-1211 Ph: (952) 686-4553 | Shayna Mellesmoen, OD 9117 Lyndale Ave S, Bloomington, MN 55420-3522 Ph: (952) 835-1235 |
Dr. Frantz Junior Pierre Toussaint, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 | |
Neda Tahvilian, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 | |
Dr. Danford William Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9117 Lyndale Ave S, Bloomington, MN 55420 Phone: 952-835-1235 Fax: 952-835-0534 | |
Dr. Lori Louise Mowbray, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1650 W 82nd St, #800, Bloomington, MN 55431 Phone: 952-844-0844 Fax: 952-844-0810 | |
Dr. Scott D Hadden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 E 78th St, Bloomington, MN 55420 Phone: 952-854-2262 Fax: 952-854-5493 | |
Michael Daniel Scheidt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 |