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Organization

Avera Mckennan

NPI Record: ActiveOptometrist
NPI1538613633
Windom, Minnesota

Provider's NPPES record last updated: October 24, 2018

Overview

Entity Type
Organization
NPI
1538613633
Primary Specialty
Optometrist
Practice Location
Windom, Minnesota
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:59 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Optometrist

    Eye and Vision Services Providers

    Primary

    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.

    Taxonomy code 152W00000X
  • Durable Medical Equipment & Medical Supplies

    Suppliers

    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

    Taxonomy code 332B00000X

Practice Locations

Practice Location

1006 4th Ave

Windom, Minnesota 56101-1440

Phone: (507) 831-2429

Other Names

  • Avera Medical Group Optometry WindomReported August 8, 2016
  • Avera Medical Group Optometry WindomReported October 24, 2018

Record Information

Enumeration Date
August 8, 2016
Provider's NPPES Record Last Updated
October 24, 2018
NPISignal NPPES Dataset
August 2026

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