Avera McKennan
NPI 1417246901ActiveOrganization· Ophthalmology· Sioux Falls, SD
Ophthalmology in Sioux Falls, South Dakota, registered in NPPES in April 2011. The authorized official on file is David Flicek, Senior Vp Of Finance.
Overview
| NPI | 1417246901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2011 |
| Last updated in NPPES | Nov 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Ophthalmology providers in Sioux Falls
- 1588120349
- 1851369763
- 1871589531
- 1114933595
- 1366468449
- 1205193554
- 1134914294
- 1427584283
- 1669738183
- 1942253919
- 1871761577
- 1508446964