ALLISON LYNN WIEDEMANN OD
NPI 1770674160
Optometrist in Blaine, MN
About Allison Lynn Wiedemann Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON LYNN WIEDEMANN OD (NPI 1770674160) is an individual optometrist in Blaine, Minnesota, licensed in Minnesota (3164) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Allison Lynn Wiedemann Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Allison Wiedemann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coon Rapids, MN 55448
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Allison Wiedemann's NPI number?
The NPI number for Allison Wiedemann is 1770674160. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Allison Wiedemann located?
Allison Wiedemann practices at 570 Northtown Dr NE, Blaine, MN 55434. The listed phone number is (763) 784-4081.
What is Allison Wiedemann's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Allison Wiedemann enrolled in Medicare?
Yes. Allison Wiedemann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Allison Wiedemann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Wiedemann reassigns Medicare benefits to Jd Eyes, Inc (Coon Rapids, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allison Wiedemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Wiedemann accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Allison Wiedemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Allison Wiedemann was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Allison Lynn Wiedemann, OD · NPI 1770674160
Optometrist provider in Blaine, Minnesota. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1770674160 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3164 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 570 NORTHTOWN DR NE, Blaine, MN 55434-1043
- **Phone:** (763) 784-4081 · **Fax:** (866) 822-2088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jd Eyes, Inc (NPI 1609292077, Coon Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2006
## Record status
- **NPPES last updated:** August 2, 2013
- **Other identifiers:** Other OPT002322 (GA); Other 3164 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1770674160) · Data from the CMS NPPES public registry.