Todd M. Wiedel, O.D., PA
NPI 1831428903ActiveOrganization· Optometrist· Pequot Lakes, MN
Optometrist in Pequot Lakes, Minnesota, registered in NPPES in December 2009. The authorized official on file is Todd M. Wiedell, OD, Director Of Corporation. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1831428903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2009 |
| Last updated in NPPES | Oct 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | 2945 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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