AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES – NPI #1003585548
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES is an ophthalmologist located in YANKTON, SD. NPPES has assigned the NPI number 1003585548 to AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES on September 08, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES” is a dba name, the actual legal business name for this organization is SACRED HEART HEALTH SERVICES. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was last updated on Jan 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES below.

NPI Profile for
SACRED HEART HEALTH SERVICES

NPI Number
1003585548
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SACRED HEART HEALTH SERVICES
Doing Business As (dba): AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES
Primary location
415 W 3RD ST
YANKTON, SD 57078-4201
Phone: (605) 665-9638 Fax: (605) 665-0526
4 Other location(s):
817 Main St
Creighton, NE 68729-4003
Phone: (605) 665-9638
Fax: (605) 665-0526
202 S Robinson Ave
Hartington, NE 68739-5501
Phone: (605) 665-9638
Fax: (605) 665-0526
100 N 37th St
Norfolk, NE 68701-3265
Phone: (605) 665-9638
Fax: (605) 665-0526
3901 W Norfolk Ave Ste L
Norfolk, NE 68701-9218
Phone: (605) 665-9638
Fax: (605) 665-0526
Mailing address
PO BOX 860674
MINNEAPOLIS, MN 55486-0605
Phone: (605) 665-9638 Fax: (605) 665-0526
Organization Subpart
Yes - AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES is subpart of another organization.
Authorized Official
DOUGLAS EKEREN
PRESIDENT/CEO
Phone: (605) 668-8322
Updated
Certification Date
Jan 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
152W00000X
- Optometrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.