| NPI | 1417246901 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP EYE CARE |
| Doing Business As | AVERA MEDICAL GROUP OPHTHALMOLOGY SIOUX FALLS |
| Entity Type | Organization |
| Authorized Contact | DAVID FLICEK Senior VP Of Finance 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-11-25 |