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AVERA MEDICAL GROUP OPHTHALMOLOGY SIOUX FALLS
NPI 1417246901
Ophthalmology in Sioux Falls, SD

Active since April 05, 2011
911 E 20TH ST STE 101, SIOUX FALLS, SD 57105(605) 322-3790(605) 322-3791 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2019, Nov 14, 2019, Oct 11, 2018 (3 updates tracked since 2018).

About Avera Medical Group Ophthalmology Sioux Falls NPPES

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

AVERA MEDICAL GROUP OPHTHALMOLOGY SIOUX FALLS (NPI 1417246901) is a healthcare organization registered as an ophthalmology in Sioux Falls, South Dakota and active in the NPI registry since April 2011. The organization lists David Flicek, Senior Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1417246901
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameAVERA MCKENNAN
Location Address911 E 20TH ST STE 101Sioux Falls, SD 57105-1043
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510
Phone(605) 322-3790
Fax(605) 322-3791
Organization SubpartNo
Authorized OfficialDavid FlicekSenior Vp Of Finance · (605) 322-7915
Enumeration DateApril 5, 2011
Last NPPES UpdateNovember 25, 20193 updates tracked since enumeration
✔ NPI 1417246901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
Also ListedOptometristTaxonomy 152W00000X
911 E 20TH ST STE 101, Sioux Falls, SD 57105
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Other Names 2

Doing Business AsAvera Medical Group Ophthalmology Sioux Falls
Doing Business AsAvera Medical Group Eye Care

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1417246901. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as Avera Medical Group Ophthalmology Sioux Falls and Avera Medical Group Eye Care.

Where is Avera Mckennan located?

Avera Mckennan is located at 911 E 20th St Ste 101, Sioux Falls, SD 57105. The listed phone number is (605) 322-3790.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.