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

Shayna Mellesmoen, OD

Individual provider Optometrist · NPI 1104503382

Shayna Mellesmoen, OD is an Optometry in Bloomington, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2023, 3 years ago. Practices with Visionary Eye Care PA, a 13-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2023
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

9117 Lyndale Ave S
Bloomington, MN 55420-3522
Phone: (952) 835-1235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3883 (MN)

Record details

NPI number1104503382
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2023 (3 years in practice)
Group practice Visionary Eye Care Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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