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CROSSLAKE EYE CENTER
NPI 1831428903
Optometrist in Pequot Lakes, MN

Active since December 18, 2009
30960 GOVERNMENT DR, PEQUOT LAKES, MN 56472(218) 568-5555(218) 568-8904 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2019, Oct 2, 2019, Jan 24, 2019 and 1 more (4 updates tracked since 2019).

About Crosslake Eye Center NPPES

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

CROSSLAKE EYE CENTER (NPI 1831428903) is a healthcare organization registered as an optometrist in Pequot Lakes, Minnesota and active in the NPI registry since December 2009. The organization maintains a secondary practice location in Crosslake and lists Todd M Wiedell, Director Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1831428903
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTODD M. WIEDEL, O.D., PA
Location Address30960 GOVERNMENT DRPequot Lakes, MN 56472-1003
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 OfficialTodd M WiedellDirector Of Corporation · (218) 568-5555
Enumeration DateDecember 18, 2009
Last NPPES UpdateOctober 10, 20194 updates tracked since enumeration
✔ NPI 1831428903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 2945 (MN)
30960 GOVERNMENT DR, Pequot Lakes, MN 56472
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Other Names 2

Doing Business AsCrosslake Eye Center
Doing Business AsPequot Eye Center

Secondary Practice Location 1

Location 113833 Riverwood LnCrosslake, MN 56442-2823 · Phone (218) 692-4700

Other Identifiers 3

Other22-05547MN · Medica
Medicaid176684800MN
Other1BI74PEMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD M WIEDELL O.D.
Optometrist
30960 GOVERNMENT DR
PEQUOT LAKES, MN 56472
Crow Wing County (218) 568-5555

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 Todd M. Wiedel, O.D., PA's NPI number?

The NPI number for Todd M. Wiedel, O.D., PA is 1831428903. It was assigned to this organization in the NPPES registry on December 18, 2009. The provider is doing business as Crosslake Eye Center and Pequot Eye Center.

Where is Todd M. Wiedel, O.D., PA located?

Todd M. Wiedel, O.D., PA is located at 30960 Government Dr, Pequot Lakes, MN 56472. The listed phone number is (218) 568-5555.

What is Todd M. Wiedel, O.D., PA's specialty?

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

What insurance does Todd M. Wiedel, O.D., PA accept?

Health plans from Medica list Todd M. Wiedel, O.D., PA 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 Todd M. Wiedel, O.D., PA was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.