Retina Associates Pc

LBN: Retina Associates Pc
Retina Associates Pc is an health care organization with primary practice located at 4642 Amber Valley Pkwy S , Fargo ND 58104-8612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Associates Pc can be contacted via phone (701) 277-4699, or through Haynie, Gary Donald via phone (701) 277-4699.

Contact Information

Primary practice address
4642 Amber Valley Pkwy S Fargo ND 58104-8612
Phone: (701) 277-4699
Fax: (701) 277-8357
Website:
Map and Directions
Authorized official contact:
Name: Haynie, Gary Donald Doctor of Medicine (MD)
Phone: (701) 277-4699

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 6710 North Dakota

Profile Details

NPI number 1104045202
LBN Legal business name Retina Associates Pc
DBA Doing business as
Authorized official Haynie, Gary Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 10th, 2007 - about 17 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 1104045202 NPPES
North Dakota MEDICAID 11166

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