Avera Medical Group Ophthalmology Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Ophthalmology Sioux Falls is an health care organization with primary practice located at 911 E 20Th St Ste 101 , Sioux Falls SD 57105-1043. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-3790, or through Flicek, David via phone (605) 322-7915.

Contact Information

Primary practice address
911 E 20Th St Ste 101 Sioux Falls SD 57105-1043
Phone: (605) 322-3790
Fax: (605) 322-3791
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-7915

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1417246901
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Ophthalmology Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2011
Last updated Nov 25th, 2019 - about 6 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.

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