Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN HENRY WIEDERHOLT, O.D.
Active Sole ProprietorDR. NATHAN HENRY WIEDERHOLT, O.D. is a Optometrist healthcare provider located in CUSTER, South Dakota. NPI 1447414461 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CUSTER, SD
Registration Details
- NPI Number
- 1447414461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2008 (17.929169359038 yrs)
- Last Updated
- Jun 16, 2010
- License
-
656 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
322 MOUNT RUSHMORE RDSUITE 120CUSTER, SD, 577301936Browse SD providers · Browse ZIP 57730
- Phone
- 6056732716
- Fax
- 6056732017
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CUSTER, SD
| Name | Credential | NPI |
|---|---|---|
| VERNON WONG | OD | 1245360510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.