AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE
NPI 1508177890
Optometrist in Mountain Lake, MN
About Avera Medical Group Optometry Mountain Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE (NPI 1508177890) is a healthcare organization registered as an optometrist in Mountain Lake, Minnesota and active in the NPI registry since July 2010. The organization lists Debbie Streier, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Medical Group Optometry Mountain Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
260Medicare enrollment records show 260 clinicians reassign Medicare billing to Avera Medical Group Optometry Mountain Lake, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 260Marshall, MN 56258
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Marshall's NPI number?
The NPI number for Avera Marshall is 1508177890. It was assigned to this organization in the NPPES registry on July 1, 2010. The provider is doing business as Avera Medical Group Optometry Mountain Lake.
Where is Avera Marshall located?
Avera Marshall is located at 1040 3rd Ave, Mountain Lake, MN 56159. The listed phone number is (507) 427-2345.
What is Avera Marshall's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Avera Marshall enrolled in Medicare?
Yes. Avera Marshall is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera Marshall?
According to the CMS Revalidation Reassignment List (October 2026 release), 260 clinicians in 36 Medicare specialties reassign their Medicare billing to Avera Marshall. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (42), Certified Registered Nurse Anesthetist (CRNA) (30) and Family Practice (25). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Avera Marshall was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Avera Medical Group Optometry Mountain Lake · NPI 1508177890
Optometrist organization in Mountain Lake, Minnesota. Organization record, active in the CMS NPPES registry since July 1, 2010.
## Identity
- **NPI:** 1508177890 (Entity type: Organization)
- **Enumerated:** July 1, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Avera Marshall
- **Organization subpart:** No
- **Authorized official:** Debbie Streier, CEO
## Practice location
- **Address:** 1040 3RD AVE, Mountain Lake, MN 56159-1587
- **Phone:** (507) 427-2345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 260 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Certified Registered Nurse Anesthetist (CRNA) (30), Family Practice (25); [full list](https://npiprofile.com/npi/1508177890/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508177890) · Data from the CMS NPPES public registry.