Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAYNA MELLESMOEN, OD
Active Sole ProprietorSHAYNA MELLESMOEN, OD is a Optometrist healthcare provider located in BLOOMINGTON, Minnesota. NPI 1104503382 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1104503382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2023 (3.1302781499588 yrs)
- Last Updated
- Jun 29, 2023
- License
-
3883 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9117 LYNDALE AVE SBLOOMINGTON, MN, 554203522Browse MN providers · Browse ZIP 55420
- Phone
- 9528351235
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| DR. ALBERT RAY LAMOTTE | OD | 1386626794 |
| JEFFREY M PETERSON | OD | 1760454946 |
| JOHN MICHAEL CONSOER | OD | 1174596555 |
| THERESIA F DIXON | OD | 1932139003 |
| DR. JASON JAMES STENSOS | OD | 1205844966 |
| DR. SCOTT D HADDEN | OD | 1144339979 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.