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PEQUOT EYE CENTER
NPI 1396918884
Optometrist in Pequot Lakes, MN

Active since April 07, 2008
4461 MAIN ST,, PEQUOT LAKES, MN 56472(218) 568-5555(218) 568-8904 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pequot Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEQUOT EYE CENTER (NPI 1396918884) is a healthcare organization registered as an optometrist in Pequot Lakes, Minnesota and active in the NPI registry since April 2008. The organization lists John Kloster Nels Kloster, Owner, as its authorized official.

NPPES Registry Identity

NPI1396918884
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJOHN KLOSTER
Location Address4461 MAIN ST,Pequot Lakes, MN 56472
Mailing AddressPo Box 176Pequot Lakes, MN 56472-0176 · (218) 568-5555 · Fax (218) 568-8904
Phone(218) 568-5555
Fax(218) 568-8904
Organization SubpartNo
Authorized OfficialJohn Kloster Nels KlosterOwner · (218) 568-5555
Enumeration DateApril 7, 2008
Last NPPES UpdateJune 18, 2008
✔ NPI 1396918884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2316
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4461 MAIN ST,, Pequot Lakes, MN 56472
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Other Names 1

Doing Business AsPequot Eye Center

Other Identifiers 6

Medicare NSC0567930001MN
Medicare UPIN410000780MN
Medicare PIN410000780MN
Other64756PEMN · Blue Cross/ Blue Shield
Other2220699MN · Medica
Medicaid050325800MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Pequot Eye Center carries, from the Medicare DMEPOS supplier directory.

Pequot Eye Center

DMEPOS supplier · Pequot Lakes, MNOperated by Todd M Wiedel Od PA
✔

Accepts Medicare assignment

Pequot Eye Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20432573
Medicare Participant SinceJanuary 1, 2019
Supplier Location30960 Government DrPequot Lakes, MN 56472
Phone(218) 568-5555
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kloster's NPI number?

The NPI number for John Kloster is 1396918884. It was assigned to this organization in the NPPES registry on April 7, 2008. The provider is doing business as Pequot Eye Center.

Where is John Kloster located?

John Kloster is located at 4461 Main St,, Pequot Lakes, MN 56472. The listed phone number is (218) 568-5555.

What is John Kloster's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does John Kloster accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pequot Eye Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for John Kloster was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.