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AVERA MCKENNAN NPI 1417246901


NPI Information

NPI: 1417246901
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP OPHTHALMOLOGY SIOUX FALLS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
911 E 20TH ST STE 101
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-3790
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AVERA MCKENNAN is an ophthalmology in Sioux Falls, 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 MCKENNAN NPI is 1417246901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Ophthalmology Sioux Falls.

The provider's business location address is:

911 E 20TH ST STE 101
SIOUX FALLS, SD
ZIP 57105-043
Phone: (605) 322-3790
Fax: (605) 322-3791

The provider's authorized official is David Flicek .
The authorized official title is Senior Vp Of Finance and has the following contact phone number (605) 322-7915.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 11/25/2019.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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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