Dr. Nathan Henry Wiederholt

O.D. | Optometrist | 16+ years Exp


  
322 Mount Rushmore Rd, Suite 120, Custer
South Dakota, 57730-1936

 605-673-2716     605-673-2017Maps & Directions
Dr. Nathan Henry Wiederholt is a Custer, South Dakota based male Optometrist with 16 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Nathan Henry Wiederholt is 656 for Optometry in South Dakota.
Dr. Nathan Henry Wiederholt 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Nathan Henry Wiederholt speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 16+ years
Medical School Attended:Pacific University - College Of Optometry
Graduation Year:2008
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:322 Mount Rushmore Rd, Suite 120, Custer,
South Dakota, 57730-1936
Phone:605-673-2716
Fax:605-673-2017
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 are as mentioned below.
PAC ID: 4688740665
Enrollment ID: I20080828000233
NPI Number: 1447414461
NPI Enumeration Date: 18 Jul, 2008
NPI Last Update On: 16 Jun, 2010

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nathan Henry Wiederholt are as mentioned below.
License NumberSpecializationStateStatus
656Optometry South DakotaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nathan Henry Wiederholt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
9203883MedicaidSouth Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 322 Mount Rushmore Rd, Suite 120
Custer, South Dakota
Zip: 57730-1936
Phone Number: 605-673-2716
Fax Number: 605-673-2017
Patients can reach Dr. Nathan Henry Wiederholt at 322 Mount Rushmore Rd, Suite 120, Custer, South Dakota or can call to book an appointment on 605-673-2716. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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