NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Avera Mckennan

Optometrist in Worthington, MN · enumerated 2016 · authorized official David Flicek, Ceo/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174077275

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Avera Mckennan
Other name <Unavail>
Practice address 702 10th St, Worthington, MN, 56187
Phone (507) 376-5535
Enumeration date Aug 8, 2016
Last updated in NPPES Oct 24, 2018

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name David Flicek
Title Ceo/President
Phone (605) 322-8000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-10-24. Verify at npiregistry.cms.hhs.gov.
Where is Avera Mckennan located?
The practice location on file with NPPES is in Worthington, MN.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-24.