NPI 1417246901

Avera McKennan

Organisation Ophthalmology Physician Sioux Falls, SD

Practice location

Address: 911 E 20th St STE 101, Sioux Falls, SD 57105-1043
Phone: (605) 322-3790
Fax: (605) 322-3791
Mailing address: PO Box 86370, Sioux Falls, SD 57118-6370

Authorised official

Name: David Flicek
Title: Senior Vp of Finance
Phone: (605) 322-7915

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in South Dakota →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in South Dakota →

Registry record

NPI: 1417246901
Entity type: Organization
NPI issued: 5 Apr 2011
Record last updated: 25 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.