Avera Medical Group Willcockson Eye Associates – Ophthalmology Physician, NPI 1003585548
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Avera Medical Group Willcockson Eye Associates
PO BOX 860674
MINNEAPOLIS, MN 554860605
Phone: (605) 665-9638
Fax: (605) 665-0526
Type: Mailing
817 Main St
Creighton, NE 687294003
Phone: (605) 665-9638
Fax: (605) 665-0526
Type: Location
202 S Robinson Ave
Hartington, NE 687395501
Phone: (605) 665-9638
Fax: (605) 665-0526
Type: Location
100 N 37th St
Norfolk, NE 687013265
Phone: (605) 665-9638
Fax: (605) 665-0526
Type: Location
3901 W Norfolk Ave Ste L
Norfolk, NE 687019218
Phone: (605) 665-9638
Fax: (605) 665-0526
Type: Location
PO BOX 86370
SIOUX FALLS, SD 571186370
Phone: (605) 322-4933
Fax: (605) 322-4995
Type: Mailing
415 W 3RD ST
YANKTON, SD 570784201
Phone: (605) 665-9638
Fax: (605) 665-0526
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (222 days ago).
Enrollment records
1
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20091020000415 | O | Clinic/Group Practice | NE | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55486)
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