AVERA MCKENNAN (NPI# 1851848444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851848444 |
| Entity Type | Organization |
| Organization Name | AVERA MCKENNAN |
| Other Organization Name | AVERA MEDICAL GROUP OPTOMETRY |
| Practice Address |
2100 S Marion Road Ste 125 Sioux Falls SD 57106-3645 |
| Practice Telephone | 6053223790 |
| Mailing Telephone | 6053223790 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | DAVID FLICEK (CEO/PRESIDENT) |
| Authorized Official Telephone | 6053228000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Optometry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979805 | Avera Mckennan | Substance Abuse Rehabilitation Facility | 6140 S Curae Lane, Sioux Falls, SD 57108-3047 | 2019-08-27 |
| 1205311628 | Avera Mckennan | Pharmacy | 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 | 2018-10-02 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1295187417 | Avera Mckennan | Psychiatry & Neurology | 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108-2593 | 2016-07-12 |
| 1669871000 | Avera Mckennan | Durable Medical Equipment & Medical Supplies | 3820 N Potsdam Ave Ste 2, Sioux Falls, SD 57104-7057 | 2014-08-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1629499132 | Avera Mckennan | Occupational Therapist | 1601 W 44th Pl, Sioux Falls, SD 57105-6376 | 2013-12-31 |
| 1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
| 1467711739 | Avera Mckennan | Pharmacy | 1301 S Cliff Ave Ste 225, Sioux Falls, SD 57105-1068 | 2012-05-08 |
| 1346512266 | Avera Mckennan | Family Medicine | 1035 South Highline Place, Sioux Falls, SD 57110-1000 | 2012-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AVERA MCKENNAN | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 |
| Iowa Business Entities | AVERA MCKENNAN | 1325 S. Cliff St., Sioux Falls, SD 57105 |
| System for Award Management (SAM) Entities | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 |
| Street Address |
2100 S MARION ROAD STE 125 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279376 | Dakota Vision Center, LLC | Optometrist | 1100 S Highline Pl, Sioux Falls, SD 57110-1001 | 2020-09-09 |
| 1003305772 | Sivesind, Tims & Clarke, Prof. L.L.C. | Optometrist | 2210 W 69th St Ste 160, Sioux Falls, SD 57108-5614 | 2018-05-08 |
| 1437566189 | Kjk Vision LLC | Optometrist | 5824 W Pineridge Dr, Sioux Falls, SD 57107-0960 | 2014-07-15 |
| 1487076196 | 20/20 Eye Care, P.C. | Optometrist | 2210 W 69th St, Suite 160, Sioux Falls, SD 57108-5602 | 2014-01-15 |
| 1528494887 | Rlf Optometry LLC | Optometrist | 3700 S Grange, Sioux Falls, SD 57105 | 2013-09-18 |
| 1962835017 | Ashley M Gentrup | Optometrist | 106 W 69th St, Sioux Falls, SD 57108-6417 | 2013-08-13 |
| 1417246901 | Avera Mckennan | Optometrist | 911 E 20th St Ste 101, Sioux Falls, SD 57105-1043 | 2011-04-05 |
| 1366766578 | Dehne Vision Care LLC | Optometrist | 6805 S Hughes Ave, Sioux Falls, SD 57108-5835 | 2010-03-16 |
| 1760717847 | Paul Draayer | Optometrist | 2100 S Marion Rd Ste 125, Sioux Falls, SD 57106-3648 | 2009-10-07 |
| 1235309162 | Angela R. Gulbranson, Od, PC | Optometrist | 6201 S Minnesota Ave, Sioux Falls, SD 57108-2559 | 2008-03-06 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57106 |
Please comment or provide details below to improve the information on AVERA MCKENNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.