Megan Haresdin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3741 Issued in MN

Practice address

1202 Moore Lake Dr E
Fridley, MN 55432-5170

Phone

(763) 574-0075

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Eye Care Centers, PAGroup PAC ID 3779543962, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optometric Eye Care Centers, P.a.

  • Optometrist
  • Fridley, MN
  • NPI 1548356595
  Medicare reassignment Care Compare group NPD
• Optometric Eye Care Centers, PA

  • Optometrist
  • Maple Grove, MN
  • NPI 1164861357
  NPD
• Optometric Eye Care Centers, PA

  • Optometrist
  • Maplewood, MN
  • NPI 1730203597
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396319968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 147TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247568",
            "telephone_number": "952-432-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MOORE LAKE DR E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325170",
            "telephone_number": "763-574-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARESDIN",
        "first_name": "MEGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michala Hamilton, RN
• Steven Paul Hanovich, MD
• Gregory R Hanson, MD
• Louis Hanson
• Thomas Edward Harbaugh, PHD, LP
• Chris Harlander
• Harmony Healing Place LLC
• Amanda Boelen Harrington, LICSW
• Riley Harris
• Abdulkadir Osman Hassan

• Optometrist in Fridley, MN
• Providers in Fridley, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.