AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE
NPI 1508177890
Optometrist in Mountain Lake, MN

Q: 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.

Q: What is Avera Marshall's specialty?

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

Q: 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.

Active since July 01, 2010

1040 3RD AVE, MOUNTAIN LAKE, MN 56159(507) 427-2345 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1508177890

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameAVERA MARSHALL

Location Address1040 3RD AVEMountain Lake, MN 56159-1587

Mailing Address1040 3rd AveMountain Lake, MN 56159-1587 · (507) 427-2345

Phone(507) 427-2345

Organization SubpartNo

Authorized OfficialDebbie StreierCeo · (507) 537-9160

Enumeration DateJuly 1, 2010

Last NPPES UpdateDecember 2, 2022

NPPES CertifiedDecember 2, 2022

✔ NPI 1508177890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1040 3RD AVE, Mountain Lake, MN 56159

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Other Names 1

Doing Business AsAvera Medical Group Optometry Mountain Lake

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

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.

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.