Active NPI
Rodney A Melgard, O.D.
- Optometrist
- Buffalo, MN
National Provider Identifier
1710922679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1812
- Practice address
- 103 Center Dr
Suite 100
Buffalo, MN 55313-2957 - Phone
- (763) 682-1282
- NPI assigned
- Jun 17, 2006
- Last updated
- May 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1812 | MN | Primary |
Addresses
Primary practice location
103 Center Dr
Suite 100
Buffalo, MN 55313-2957
Mailing address
103 Center Drive
Buffalo, MN 55313
Phone (763) 682-1282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916023000 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Ctr Dr
Suite 100
Buffalo, MN 55313-2958
Phone (763) 682-1282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1812 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| James J Hess & Scott Endres | Optometrist | Past | Accepting new patients |
Locations
103 Center Dr
Ste 100
Buffalo, MN 55313
Phone (763) 682-1282
3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1477732337
-
- Optometrist
- Buffalo, MN
- NPI 1881610640
-
- Optometrist
- Becker, MN
- NPI 1023615069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1710922679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CENTER DRIVE",
"city": "BUFFALO",
"state": "MN",
"postal_code": "55313",
"telephone_number": "763-682-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CENTER DR",
"address_2": "SUITE 100",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132957",
"telephone_number": "763-682-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELGARD",
"first_name": "RODNEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "1812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "916023000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.