Pamela J Wendlandt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3354 Issued in MN

Practice address

15704 90TH St NE
Suite 100
Otsego, MN 55330-7448

Phone

(763) 241-1090

Fax

(763) 241-1091

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Eyes Vision Clinic, PA

  • Optometrist
  • Otsego, MN
  • NPI 1720113947
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1629417662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15704 90TH ST NE",
            "address_2": "SUITE 100",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307448",
            "telephone_number": "763-241-1090",
            "fax_number": "763-241-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 90TH ST NE",
            "address_2": "SUITE 100",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307448",
            "telephone_number": "763-241-1090",
            "fax_number": "763-241-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLANDT",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blia Vue, FNP-C
• Robert Wehling, LICSW
• Jennifer Weigelt, LP
• Dorothy Grace Weitz
• Connor Welle
• Nicole Elisabeth West, MASSAGE THERAPIST
• David Alan Wheelhouse, LADC, CPP
• Mary Wieczorek, R.N
• Sophie Grace Williams
• Nicollet Sue Young, OTD

• Optometrist in Otsego, MN
• Providers in Otsego, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.