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

Trent N. Thielke, OD

Individual provider Optometrist · NPI 1760628788

Trent N. Thielke, OD is an Optometry in Woodbury, Minnesota. Graduated from Southern College of Optometry in 2009, 17 years ago. Practices with St Paul Eye Clinic PA, a 20-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
17
Trained at
Southern College of Optometry
Licensed in
MN, WI
In the registry since
2008
Specialties on file
2
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

2080 Woodwinds Dr Ste 110
Woodbury, MN 55125-2524
Phone: (651) 738-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3183 (MN)
Optometrist Taxonomy 152W00000X · Licence 3145-035 (WI)

Record details

NPI number1760628788
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 22, 2008
Last updated in NPPESJanuary 12, 2016

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice St Paul Eye Clinic Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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