Organization · Type 2 NPI

Avera McKennan

Ophthalmology Physician · Sioux Falls, SD

NPI number 1417246901 Active

Practice location

911 E 20th St Ste 101
Sioux Falls, SD 57105-1043

Call (605) 322-3790 Map

Fax (605) 322-3791

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
Ophthalmology Physician Primary	207W00000X	None listed

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

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NPI record

NPI: 1417246901
Entity type: Organization (Type 2)
Issued: Apr 5, 2011
Last updated: Nov 25, 2019
Status: Active

Other names

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Avera Medical Group Eye Care · doing business as
Avera Medical Group Ophthalmology Sioux Falls · doing business as

Authorized official

David Flicek
Senior VP of Finance
(605) 322-7915

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417246901

Avera McKennan's National Provider Identifier is 1417246901, issued on Apr 5, 2011. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Nov 25, 2019.