Individual provider Active NPI

Melissa Marie Hinderschied, OD

  • Optometrist
  • Little Falls, MN
National Provider Identifier
1245349331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2817 Issued in MN
Practice address
1948 1St Ave NE
Little Falls, MN 56345
Phone
(320) 632-9201
Fax
(320) 632-9202
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2817 MN Primary

Addresses

Primary practice location

1948 1St Ave NE
Little Falls, MN 56345

Mailing address

PO Box 247
410 Aspen CT
Rockville, MN 56369
Phone (320) 253-4868

Other identifiers 2

IdentifierTypeStateIssuer
513T4HIOtherMNBCBS
2202528OtherMNMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000516 MN Practitioner - Optometry 1456334218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Falls Eye Care Center PAGroup PAC ID 3870624935, 3 clinicians

Practice addresses (Care Compare)

313 1St St SE
Little Falls, MN 56345-3005
Phone (320) 632-3676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2817MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Falls Eye Care Center P.a Optometrist CurrentSince Nov 23, 2015 Accepting new patients
Little Falls Eye Care Center PA Optometrist CurrentSince Nov 23, 2015 Accepting new patients
Midwest Vision Centers Inc Past Accepting new patients

Locations

313 1st St SE
Little Falls, MN 56345
Phone (320) 632-3673

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245349331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "address_2": "410 ASPEN CT",
            "city": "ROCKVILLE",
            "state": "MN",
            "postal_code": "56369",
            "telephone_number": "320-253-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 1ST AVE NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "56345",
            "telephone_number": "320-632-9201",
            "fax_number": "320-632-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERSCHIED",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "513T4HI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202528",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.