Avera Marshall
NPI 1487958062ActiveOrganization· Optometrist· Tracy, MN
Optometrist in Tracy, Minnesota, registered in NPPES in December 2010. The authorized official on file is Debbie Streier, Ceo. Enrolled in Medicare as dme supplier - physician - optometrist.
Overview
| NPI | 1487958062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2010 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Ophthalmology | 207W00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Enrolled DME Supplier - Physician - Optometrist (MN) |
|---|
Other Optometrist providers in Tracy
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