Kassandra M Wedeking (NPI# 1245671932, PAC ID# 7517185465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1245671932 |
| PAC ID by PECOS | 7517185465 |
| Professional Enrollment ID | I20180910001049 |
| Full Name | Kassandra M Wedeking |
| Organization Legal Name | APPLE VALLEY EYE CARE PA |
| Address |
7789 147th W St Apple Valley MN 55124-7568 |
| Phone Number | 9524320680 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4385632520 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7789 147th W St, Apple Valley, MN 55124-7568 | 9524320680 | APPLE VALLEY EYE CARE PA |
| 14120 Commerce Neave, Suite 100, Prior Lake, MN 55372-1501 | 9524472020 | CROSSROADS OPTOMETRIC CLINIC, INC. |
| Organization Legal Name | APPLE VALLEY EYE CARE PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren K Haverly | Optometry | Apple Valley Eye Care Pa | 7789 147th W St, Apple Valley, MN 55124-7568 |
| Patrick J Wellik | Optometry | Apple Valley Eye Care Pa | 7789 147th W St, Apple Valley, MN 55124-7568 |
| Annika Anderson | Optometry | Apple Valley Eye Care Pa | 7789 147th W St, Apple Valley, MN 55124-7568 |
| Street Address |
7789 147TH W ST |
| City | APPLE VALLEY |
| State | MN |
| Zip | 55124-7568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren K Haverly | Optometry | Apple Valley Eye Care Pa | 7789 147th W St, Apple Valley, MN 55124-7568 |
| Patrick J Wellik | Optometry | Apple Valley Eye Care Pa | 7789 147th W St, Apple Valley, MN 55124-7568 |
| Annika Anderson | Optometry | Apple Valley Eye Care Pa | 7789 147th W St, Apple Valley, MN 55124-7568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nkeiruka Sylvia Anyiam | Nurse Practitioner | Minuteclinic Diagnostic Pa | 3633 Bunker Lake Blvd Nw, Andover, MN 55124 |
| Anthony M Felten | Chiropractic | 15322 Galaxie Ave, Suite 110, Apple Valley, MN 55124-3149 | |
| Sarah Robinson-hudson | Clinical Psychologist | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 140, Apple Valley, MN 55124-4509 |
| Promise C Amajiri | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Jill R Toliver | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven H Lutzwick | Psychiatry | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven C Severson | Clinical Social Worker | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Robert L Peterson | Psychologist, Clinical | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Samantha A Huguelet | Certified Clinical Nurse Specialist (cns) | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Hilary A Winkelmann | Nurse Practitioner | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Find all physicians in zip 55124 | |||
| City | APPLE VALLEY |
| Zip Code | 55124 |
| Specialty | OPTOMETRY |
| City + Specialty | APPLE VALLEY + OPTOMETRY |
Please comment or provide details below to improve the information on Kassandra M Wedeking.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.