| Dr Nathan Henry Wiederholt, OD | |
|
322 Mount Rushmore Rd, Suite 120, Custer, SD 57730-1936 | |
| (605) 673-2716 | |
| (605) 673-2017 |
| Full Name | Dr Nathan Henry Wiederholt |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 322 Mount Rushmore Rd, Custer, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447414461 | NPI | - | NPPES |
| 9203883 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 656 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Henry Wiederholt, OD 322 Mount Rushmore Rd, Suite 120, Custer, SD 57730-1936 Ph: (605) 673-2716 | Dr Nathan Henry Wiederholt, OD 322 Mount Rushmore Rd, Suite 120, Custer, SD 57730-1936 Ph: (605) 673-2716 |
Vernon Wong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25229 Pinto Ln, Custer, SD 57730 Phone: 605-673-5663 | |
Premier Family Eye Care, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 322 Mount Rushmore Rd, Suite 120, Custer, SD 57730 Phone: 605-673-2716 Fax: 605-673-2017 |