Avera Medical Group Optometry Mountain Lake

LBN: Avera Marshall
Avera Medical Group Optometry Mountain Lake is an health care organization with primary practice located at 1040 3Rd Ave , Mountain Lake MN 56159-1587. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Avera Marshall can be contacted via phone (507) 427-2345, or through Streier, Debbie via phone (507) 537-9160.

Contact Information

Primary practice address
1040 3Rd Ave Mountain Lake MN 56159-1587
Phone: (507) 427-2345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Streier, Debbie
Phone: (507) 537-9160

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1508177890
LBN Legal business name Avera Marshall
DBA Doing business as Avera Medical Group Optometry Mountain Lake
Authorized official Streier, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2010
Last updated Dec 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers