Melanie Jo Lirong Thares, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3866 Issued in MN

Practice address

628 Roosevelt Rd Ste 101
Saint Cloud, MN 56301-4867

Phone

(320) 774-3789

Fax

(320) 774-3483

NPI assigned

Apr 26, 2022

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagan Eye Clinic LLCGroup PAC ID 0345220745, 48 clinicians

Eye Associates of Central Minnesota PAGroup PAC ID 5597046987, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as group

Quality

100

Improvement activities

40

Cost

63.91

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.

• Eye Associates of Central Minnesota PA

  • Ophthalmology Physician
  • Saint Cloud, MN
  • NPI 1790228294
  Medicare reassignment Care Compare group NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1518601442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 ROOSEVELT RD STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014867",
            "telephone_number": "320-774-3789",
            "fax_number": "320-774-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 ROOSEVELT RD STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014867",
            "telephone_number": "320-774-3789",
            "fax_number": "320-774-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARES",
        "first_name": "MELANIE",
        "middle_name": "JO LIRONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Murphy PA
• John M Teskey, MD
• Morgan Tetley
• Panda Thammavong, RBT
• Augustine Thapa Tamang
• Nicholas Thayer
• The Saint Cloud Hospital
• The Wellness Clinic L.L.C.
• Eric Joseph Theisen, RN
• Katie Theisen, MSN, RN

• Optometrist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.