Doctor profile · Federal record
Dr. Shayna Mellesmoen, OD
Optometrist (CMS: Optometry) · Bloomington, MN
- NPI 1104503382
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
9117 Lyndale Ave S
Bloomington, MN 554203522
(952) 835-1235 - Mailing address
-
8115 2Nd Ave S
Bloomington, MN 554201211
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Minnesota #3883
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104503382. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$151
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Johnson & Johnson Vision Care, Inc. | 1 | $84.55 | |
| RxSight Inc | 2 | $66.54 |
By nature of payment
Frequently asked questions
What is Dr. Shayna Mellesmoen's medical specialty?
Dr. Shayna Mellesmoen practices Optometrist in Bloomington, MN.
Where does Dr. Shayna Mellesmoen practice?
Dr. Shayna Mellesmoen practices at 9117 Lyndale Ave S, Bloomington, MN 554203522. Office phone: 9528351235.
What is Dr. Shayna Mellesmoen's NPI?
Dr. Shayna Mellesmoen's National Provider Identifier (NPI) is 1104503382, issued by NPPES.
Does Dr. Shayna Mellesmoen accept Medicare assignment?
Yes. Dr. Shayna Mellesmoen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.