NPI 1104045202

Retina Associates PC

Organisation Ophthalmology Physician Fargo, ND

Practice location

Address: 4642 Amber Valley Pkwy S, Fargo, ND 58104-8612
Phone: (701) 277-4699
Fax: (701) 277-8357
Mailing address: PO Box 11247, Fargo, ND 58106-1247

Authorised official

Name: Gary Donald Haynie
Title: President
Phone: (701) 277-4699

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 6710 (ND)

Other Ophthalmology providers in North Dakota →

Registry record

NPI: 1104045202
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 10 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.