Central Minnesota Retina Specialists

LBN: Central Minnesota Retina Consultants, Pllc
Central Minnesota Retina Specialists is an health care organization with primary practice located at 2330 Troop Dr Suite 104, Sartell MN 56377-4530. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Central Minnesota Retina Consultants, Pllc can be contacted via phone (320) 230-8555, or through Reynolds, Dale S via phone (320) 230-8555.

Contact Information

Primary practice address
2330 Troop Dr Suite 104 Sartell MN 56377-4530
Phone: (320) 230-8555
Fax: (320) 230-8556
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Dale S MD, PH. D.
Phone: (320) 230-8555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 45473 Minnesota

Profile Details

NPI number 1902134877
LBN Legal business name Central Minnesota Retina Consultants, Pllc
DBA Doing business as Central Minnesota Retina Specialists
Authorized official Reynolds, Dale S MD, PH. D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2009
Last updated Dec 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902134877 NPPES
Other 569S2CE BLUECROSS BLUESHIELD
MEDICAID 807932300 BLUECROSS BLUESHIELD

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