OrganizationActive
Avera Mckennan
NPI 1538613633 · Optometrist · Windom, MN
Avera Mckennan is a Optometrist organization in Windom, MN (NPI 1538613633).
Provider details
- NPI number
- 1538613633
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Flicek, Ceo/President(605) 322-8000
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1006 4th Ave
Windom, MN 56101-1440
Phone: (507) 831-2429
Street-level locationGet directions
Mailing address
1006 4th Ave
Windom, MN 56101-1440
Other names (DBA / former)
- Doing business as
- Avera Medical Group Optometry Windom
- Doing business as
- Avera Medical Group Optometry Windom
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2018-10-24
Frequently asked questions
- What is Avera Mckennan's NPI number?
- Avera Mckennan's National Provider Identifier (NPI) is 1538613633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera Mckennan?
- Avera Mckennan is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Avera Mckennan located?
- Avera Mckennan's practice location on file with NPPES is 1006 4th Ave, Windom, MN 56101-1440.
- What is Avera Mckennan's phone number?
- The practice phone number listed in the NPPES registry for Avera Mckennan is (507) 831-2429.
- Who is the authorized official for Avera Mckennan?
- The authorized official listed on Avera Mckennan's NPPES record is David Flicek, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera Mckennan's NPI active?
- Yes — Avera Mckennan's NPI (1538613633) is active in the NPPES registry as of the last update on 2018-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.