AVERA MEDICAL GROUP OPTOMETRY WORTHINGTON
NPI 1417378555
Optometrist in Worthington, MN

NPI Status: Active since December 16, 2013

Contact Information

702 10TH ST
WORTHINGTON, MN
ZIP 56187
Phone: (507) 376-5535
Fax: (507) 376-4805

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  • Organization
  • Optometrist

About AVERA MEDICAL GROUP OPTOMETRY WORTHINGTON

This page provides the complete NPI Profile along with additional information for Avera Medical Group Optometry Worthington, a provider established in Worthington, Minnesota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1417378555 assigned on December 2013. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Avera Medical Group Optometry Worthington. The authorized official of this NPI record is Debbie Streier (Ceo)

NPI
1417378555
Provider Legal Name
AVERA MARSHALL
Other Organization Name
AVERA MEDICAL GROUP OPTOMETRY WORTHINGTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
702 10TH ST WORTHINGTON, MN 56187
Location Phone
(507) 376-5535
Location Fax
(507) 376-4805
Mailing Address
300 S BRUCE ST MARSHALL, MN 56258
Mailing Phone
(507) 532-9661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2013
Last Update Date
12-02-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBBIE STREIER

Authorized Official Title
CEO
Authorized Official Phone
(507) 537-9160

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417378555
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24276716510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 6 + 7 + 1 + 6 + 5 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1417378555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346209020DR. WALLACE SCOTT JOHNSON O.D.
Individual
Optometrist702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5535
1821023979 ROGER DEAN JOHNSON O.D.
Individual
Optometrist702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5535
1174077275AVERA MCKENNAN
Organization
Optometrist702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5535
1184700825JOHNSON EYE CLINIC, P.A
Organization
Optometrist702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5535
1306452131WORTHINGTON EYE CLINIC, LLC
Organization
Optometrist702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5535
1164791919DR. LEZLIE PEARL JONES O.D.
Individual
Optometrist702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5535
1154182236JOYFUL EYES OPTOMETRY PLLC
Organization
Optometrist (Corneal and Contact Management)702 10TH ST
WORTHINGTON, MN 56187
(507) 376-5355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417378555, enumerated in the NPI registry as an "organization" on December 16, 2013

The provider is located at 702 10th St Worthington, Mn 56187 and the phone number is (507) 376-5535

This medical organization specializes in Optometrist with taxonomy code 152W00000X

This NPI record was last updated on December 16, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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