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AVERA QUEEN OF PEACE NPI 1528340494


NPI Information

NPI: 1528340494
Provider Name: AVERA QUEEN OF PEACE

Doing Business As: AVERA MEDICAL GROUP OPHTHALMOLOGY MITCHELL

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
625 N FOSTER ST STE 202
MITCHELL, SD
ZIP 57301
Phone: (605) 995-6393
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AVERA QUEEN OF PEACE is an ophthalmology in Mitchell, SD. The provider is 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, including glasses and contact lenses. AVERA QUEEN OF PEACE NPI is 1528340494. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Ophthalmology Mitchell.

The provider's business location address is:

625 N FOSTER ST STE 202
MITCHELL, SD
ZIP 57301-903
Phone: (605) 995-6393
Fax: (605) 995-6292

The provider's authorized official is Douglas Ekeren .
The authorized official title is President/ceo and has the following contact phone number (605) 668-8322.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 8/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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