NPIMap

Organization Active NPI

Avera Marshall

Doing business as Avera Eye Care Tracy

  • Optometrist
  • Tracy, MN
National Provider Identifier
1487958062
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AVERA MARSHALL
Doing business as
Avera Eye Care Tracy
Avera Medical Group Optometry Tracy
Practice address
505 State St
Tracy, MN 56175-1539
Phone
(507) 629-3230
NPI assigned
Dec 22, 2010
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Streier
Title
Ceo
Phone
(507) 537-9160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Optometrist 152W00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

505 State St
Tracy, MN 56175-1539

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7293

Other names 2

  • Avera Eye Care Tracy Doing business as
  • Avera Medical Group Optometry Tracy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000219 MN Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 278 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tracy, MN; Springfield, MN; Dawson, MN; Redwood Falls, MN; Minneota, MN; Marshall, MN; Eden Prairie, MN; Canby, MN…
O20110422000253 MN DME Supplier - Physician - OptometristDME Supplier - Optician 5799695227 Practice locations: Tracy, MN

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Avera Marshall

    dba Avera@Home Southwest Minnesota

    • Home Health Agency
    • Marshall, MN
    • NPI 1033535547

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Dialysis Marshall

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Marshall, MN
    • NPI 1154856839

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Morningside Heights Care Center

    • Skilled Nursing Facility
    • Marshall, MN
    • NPI 1255329033

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Eye Care Dawson

    • Optometrist
    • Dawson, MN
    • NPI 1396513370

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Marshall Regional Medical Center

    • Critical Access Hospital
    • Marshall, MN
    • NPI 1568401016

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Eye Care Marshall

    • Durable Medical Equipment & Medical Supplies
    • Marshall, MN
    • NPI 1669622031

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Marshall Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Marshall, MN
    • NPI 1700070430

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Marshall Regional Medical Center

    • Psychiatric Hospital Unit
    • Marshall, MN
    • NPI 1750508412

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Eye Care Springfield

    • Ophthalmology Physician
    • Springfield, MN
    • NPI 1922316041

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Eye Care Canby

    • Optometrist
    • Canby, MN
    • NPI 1952179939

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera@Home Southwest Minnesota

    • Community Based Hospice Care Agency
    • Marshall, MN
    • NPI 1952727463

    5799695227

    Same PAC ID
  • Avera Marshall

    dba Avera Marshall Specialty Clinic

    • Multi-Specialty Clinic/Center
    • Marshall, MN
    • NPI 1962641936

    5799695227

    Same PAC ID
View all 13

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Avera Eye Care Tracy505 State St, Tracy, MN 56175-1539(507) 629-3230 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
WMMC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Tyler HospitalTyler, MN, CCN 241348 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016
Avera Tyler HospitalTyler, MN, CCN 24Z348 Hospital Operational/Managerial Control Mar 1, 2016
Avera Granite Falls Health CenterGranite Falls, MN, CCN 241343 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jan 1, 2020
Avera Granite Falls Health CenterGranite Falls, MN, CCN 24Z343 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jan 1, 2020
Avera Sunrise ManorTyler, MN, CCN 245357 Skilled nursing facility Operational/Managerial Control Feb 17, 2016
Avera Granite Falls Care CenterGranite Falls, MN, CCN 245243 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020
Avera Medical Group TylerTyler, MN, CCN 243413 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016
Avera Medical Group TylerLake Benton, MN, CCN 243470 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Avera Granite Falls

    dba Avera Granite Falls Health Center Swingbed

    • Medicare Defined Swing Bed Hospital Unit
    • Granite Falls, MN
    • NPI 1578106498

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Avera Granite Falls

    dba Avera Granite Falls Care Center

    • Skilled Nursing Facility
    • Granite Falls, MN
    • NPI 1679116503

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Avera Granite Falls

    dba Avera Granite Falls Health Center

    • Critical Access Hospital
    • Granite Falls, MN
    • NPI 1700429610

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Avera Tyler

    dba Avera Lake Benton Clinic

    • Rural Health Clinic/Center
    • Lake Benton, MN
    • NPI 1003869892

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Avera Tyler
    • Medicare Defined Swing Bed Hospital Unit
    • Tyler, MN
    • NPI 1326102237

    Operational/Managerial Control

    CMS ownership
  • Avera Tyler

    dba Avera Medical Group Tyler

    • Rural Health Clinic/Center
    • Tyler, MN
    • NPI 1649223439

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Avera Tyler

    dba Avera Tyler Hospital

    • Critical Access Hospital
    • Tyler, MN
    • NPI 1801840517

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Avera Tyler

    dba Avera Sunrise Manor

    • Skilled Nursing Facility
    • Tyler, MN
    • NPI 1821042920

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1487958062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 STATE ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751539",
            "telephone_number": "507-629-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "STREIER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-537-9160"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Eye Care Tracy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Medical Group Optometry Tracy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, MN

Sources for this page

Verify at the official NPI Registry.