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RETINA ASSOCIATES PC
NPI 1104045202
Ophthalmology in Fargo, ND

Active since April 25, 2007
4642 AMBER VALLEY PKWY S, FARGO, ND 58104(701) 277-4699(701) 277-8357 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retina Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA ASSOCIATES PC (NPI 1104045202) is a healthcare organization registered as an ophthalmology in Fargo, North Dakota and active in the NPI registry since April 2007. The organization lists Gary Donald Haynie, President, as its authorized official.

NPPES Registry Identity

NPI1104045202
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA ASSOCIATES PC
Location Address4642 AMBER VALLEY PKWY SFargo, ND 58104-8612
Mailing AddressPo Box 11247Fargo, ND 58106-1247 · (701) 277-4699 · Fax (701) 277-8357
Phone(701) 277-4699
Fax(701) 277-8357
Organization SubpartNo
Authorized OfficialGary Donald HayniePresident · (701) 277-4699
Enumeration DateApril 25, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1104045202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in ND · 6710
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4642 AMBER VALLEY PKWY S, Fargo, ND 58104
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Other Identifiers 2

Medicare PINN18672ND
Medicaid11166ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY DONALD HAYNIE MD
Ophthalmology
4642 AMBER VALLEY PKWY S
FARGO, ND 58104
Cass County (701) 277-4699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Associates PC's NPI number?

The NPI number for Retina Associates PC is 1104045202. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Retina Associates PC located?

Retina Associates PC is located at 4642 Amber Valley Pkwy S, Fargo, ND 58104. The listed phone number is (701) 277-4699.

What is Retina Associates PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Retina Associates PC was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.