Allison Lynn Wiedemann in Blaine - Optometrist

Allison Lynn Wiedemann - NPI 1770674160

Allison Lynn Wiedemann is a Optometrist in Blaine, Minnesota. Allison Lynn Wiedemann practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Allison Lynn Wiedemann is 1770674160. The last update date is 2013-08-02.

Allison Lynn Wiedemann's current location address is 570 Northtown Dr Ne, Blaine, Minnesota. You can contact this provider via phone number 7637844081 and fax number 8668222088. The mailing address for Allison Lynn Wiedemann is 570 Northtown Dr Ne, Blaine, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Allison Lynn Wiedemann
Address 570 Northtown Dr Ne, Blaine, Minnesota
Phone Number 7637844081
Fax Number 8668222088
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1770674160
Provider Enumeration Date 2006-09-28
Last Updated Date 2013-08-02

Provider Mailing Address Detail

Address 570 Northtown Dr Ne
City Blaine
State Minnesota (MN)
Post Code 554341043
Phone Number 7637844081
Fax Number 8668222088

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPT002322
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OPT002322 GA STATE LICENSE
3164 MN MN OPTOMETRY LICENSE

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FAQs about Allison Lynn Wiedemann

What is the unique provider identifier assigned to Allison Lynn Wiedemann?

The Allison Lynn Wiedemann has been issued the NPI (National Provider Identifier) 1770674160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Allison Lynn Wiedemann located?

The Allison Lynn Wiedemann is located at 570 Northtown Dr Ne, Blaine, MN 554341043.

What is the area of specialization for Allison Lynn Wiedemann, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Allison Lynn Wiedemann is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

On what date did the Allison Lynn Wiedemann receive the assignment of its 1770674160 from the Centers for Medicare & Medicaid Services?

The Allison Lynn Wiedemann was issued its 1770674160 by the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date was the information regarding Allison Lynn Wiedemann, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Allison Lynn Wiedemann, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-02.

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