Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Todd M. Wiedel, OD, PA

Organization Optometrist · NPI 1831428903

Todd M. Wiedel, OD, PA is an Optometrist in Pequot Lakes, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30960 Government Dr
Pequot Lakes, MN 56472-1003
Phone: (218) 568-5555
Fax: (218) 568-8904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13833 Riverwood Ln, Crosslake, MN 56442-2823 — (218) 692-4700

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Eyewear Supplier Taxonomy 332H00000X · Licence 2945 (MN)

Record details

NPI number1831428903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Wiedell — Director Of Corporation · (218) 568-5555
Other names Crosslake Eye Center; Pequot Eye Center
NPI enumeratedDecember 18, 2009
Last updated in NPPESOctober 10, 2019
Mailing addressPo Box 176, Pequot Lakes, MN 56472-0176

Other providers in Pequot Lakes