Todd M. Wiedel, O.d., Pa

Optometrist Center


  
30960 Government Dr, Pequot Lakes
Minnesota, 56472-1003

 218-568-5555     218-568-8904Maps & Directions
Todd M. Wiedel, O.d., Pa is a Optometrist 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 have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


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: Optometry
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.
SpecializationLicense NumberStateStatus
Optometrist Primary
Eyewear Supplier (equipment, Not The Service) 2945MinnesotaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
176684800MedicaidMinnesota
1BI74PEOtherMinnesotaBcbs
22-05547OtherMinnesotaMedica
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 14 April, 2025.
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