Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelsey Marie Manescalco, OD

Individual provider Pediatric Optometrist · NPI 1003338211

Dr. Kelsey Marie Manescalco, OD is an Optometry in Otsego, Minnesota. Graduated from University of Missouri St Louis - School of Optometry in 2017, 9 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MN
In the registry since
2017
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

15704 90th St NE # 100
Otsego, MN 55330-7448
Phone: (763) 241-1090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3513 (MN)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 3513 (MN)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence 3513 (MN)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 3513 (MN)

Record details

NPI number1003338211
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESJuly 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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