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AVERA MEDICAL GROUP OPTOMETRY WORTHINGTON
NPI 1174077275
Optometrist in Worthington, MN

Active since August 08, 2016
702 10TH ST, WORTHINGTON, MN 56187(507) 376-5535 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2018, Aug 8, 2016 (2 updates tracked since 2016).

About Avera Medical Group Optometry Worthington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP OPTOMETRY WORTHINGTON (NPI 1174077275) is a healthcare organization registered as an optometrist in Worthington, Minnesota and active in the NPI registry since August 2016. The organization lists David Flicek, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1174077275
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAVERA MCKENNAN
Location Address702 10TH STWorthington, MN 56187-2767
Mailing Address702 10th StWorthington, MN 56187-2767 · (507) 376-5535
Phone(507) 376-5535
Organization SubpartNo
Authorized OfficialDavid FlicekCeo/president · (605) 322-8000
Enumeration DateAugust 8, 2016
Last NPPES UpdateOctober 24, 20182 updates tracked since enumeration
✔ NPI 1174077275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
702 10TH ST, Worthington, MN 56187
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Other Names 1

Doing Business AsAvera Medical Group Optometry Worthington

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSON EYE CLINIC, P.A
Optometrist
702 10TH ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5535
AVERA MARSHALL
Optometrist
702 10TH ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5535
ROGER DEAN JOHNSON O.D.
Optometrist
702 10TH ST
WORTHINGTON, MN 56187
Nobles County (507) 376-5535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1174077275. It was assigned to this organization in the NPPES registry on August 8, 2016. The provider is doing business as Avera Medical Group Optometry Worthington.

Where is Avera Mckennan located?

Avera Mckennan is located at 702 10th St, Worthington, MN 56187. The listed phone number is (507) 376-5535.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.