Todd M. Wiedel, O.d., Pa is a Eyewear Supplier (equipment, Not The Service) Center in Pequot Lakes, Minnesota. It is situated at 30960 Government Dr, Pequot Lakes and its contact number is 218-568-5555. The authorized person of Todd M. Wiedel, O.d., Pa is Dr. Todd M Wiedell
who is Director Of Corporation of the clinic and their contact number is 218-568-5555. Todd M. Wiedel, O.d., Pa Center An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Todd M. Wiedel, O.d., Pa Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Eyewear Supplier (equipment, Not The Service)
Clinic Address:
30960 Government Dr, Pequot Lakes, Minnesota, 56472-1003
Phone:
218-568-5555
Fax:
218-568-8904
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Todd M Wiedell
Position:
Director Of Corporation
Contact Number:
218-568-5555
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Todd M. Wiedel, O.d., Pa Center are as mentioned below.
NPI Number:
1831428903
NPI Enumeration Date:
18 Dec, 2009
NPI Last Update On:
10 Oct, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Todd M. Wiedel, O.d., Pa are as mentioned below.
Specialization
License Number
State
Status
Optometrist
Primary
Eyewear Supplier (equipment, Not The Service)
2945
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
176684800
Medicaid
Minnesota
1BI74PE
Other
Minnesota
Bcbs
22-05547
Other
Minnesota
Medica
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Todd M. Wiedel, O.d., Pa Po Box 176, Pequot Lakes, Minnesota
Zip:
56472-0176
Phone Number:
218-568-5555
Fax Number:
218-568-8904
Patients can reach Todd M. Wiedel, O.d., Pa at 30960 Government Dr, Pequot Lakes, Minnesota or can call to book an appointment on 218-568-5555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.
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