OrganizationActive
Avera Mckennan
NPI 1417246901 · Ophthalmology Physician · Sioux Falls, SD
Provider details
- NPI number
- 1417246901
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Flicek, Senior Vp of Finance(605) 322-7915
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Practice location
911 E 20th St Ste 101
Sioux Falls, SD 57105-1043
Phone: (605) 322-3790
Fax: (605) 322-3791
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 86370
Sioux Falls, SD 57118-6370
Other names (DBA / former)
- Doing business as
- Avera Medical Group Eye Care
- Doing business as
- Avera Medical Group Ophthalmology Sioux Falls
Registry dates
- Enumerated
- 2011-04-05
- Last updated
- 2019-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.