Organization Active NPI

Avera Marshall

Doing business as Avera Eye Care Springfield

  • Ophthalmology Physician
  • Springfield, MN
National Provider Identifier
1922316041
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AVERA MARSHALL
Doing business as
Avera Eye Care Springfield
Avera Medical Group Optometry Springfield
Practice address
602 N Jackson Ave
Springfield, MN 56087-4502
Phone
(507) 723-6548
NPI assigned
Sep 23, 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
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

602 N Jackson Ave
Springfield, MN 56087-4502

Mailing address

602 N Jackson Ave
Springfield, MN 56087-4502
Phone (507) 723-6548

Other names 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000486 MN DME Supplier - Optician 5799695227 Practice locations: Springfield, MN

Other NPIs with the same Medicare PAC ID 13

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

View all 13

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 Springfield602 N Jackson Ave, Springfield, MN 56087-4502(507) 723-6548 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Avera Marshall16 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.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1922316041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N JACKSON AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560874502",
            "telephone_number": "507-723-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N JACKSON AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560874502",
            "telephone_number": "507-723-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "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": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Eye Care Springfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Medical Group Optometry Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MN

Sources for this page

Verify at the official NPI Registry.