Avera Marshall
NPI 1417378555ActiveOrganization· Optometrist· Worthington, MN
Optometrist in Worthington, Minnesota, registered in NPPES in December 2013. The authorized official on file is Debbie Streier, Ceo.
Overview
| NPI | 1417378555 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2013 |
| Last updated in NPPES | Dec 2, 2022 |
| Certified by provider | Dec 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 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 Optometrist providers in Worthington
- 1174077275
- 1184700825
- 1437250164
- 1417028846
- 1306898630
- 1821023979
- 1164791919
- 1215004551
- 1306952031