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

Dr. Nathan Henry Wiederholt, OD

Individual provider Optometrist · NPI 1447414461

Dr. Nathan Henry Wiederholt, OD is an Optometry in Custer, South Dakota. Graduated from Pacific University - College of Optometry in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
18
Trained at
Pacific University - College of Optometry
Licensed in
SD
In the registry since
2008
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

322 Mount Rushmore Rd Ste 120
Custer, SD 57730-1936
Phone: (605) 673-2716
Fax: (605) 673-2017
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 656 (SD)

Record details

NPI number1447414461
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 18, 2008
Last updated in NPPESJune 16, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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