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MINNESOTA RETINA ASSOCIATES, LLC
NPI 1356099352
Ophthalmology - Retina Specialist in Bloomington, MN

Active since March 17, 2022
9801 DUPONT AVE S STE 110, BLOOMINGTON, MN 55431(612) 355-6510 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minnesota Retina Associates, Llc NPPES

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

MINNESOTA RETINA ASSOCIATES, LLC (NPI 1356099352) is a healthcare organization registered as a retina specialist in Bloomington, Minnesota and active in the NPI registry since March 2022. The organization maintains 3 additional practice locations and lists Clifton Chad Bazhaw, Sr Vice President Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1356099352
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameMINNESOTA RETINA ASSOCIATES, LLC
Location Address9801 DUPONT AVE S STE 110Bloomington, MN 55431-3179
Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7600 · Fax (763) 416-7634
Phone(612) 355-6510
Organization SubpartNo
Authorized OfficialClifton Chad BazhawSr Vice President Revenue Cycle · (469) 270-6658
Enumeration DateMarch 17, 2022
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1356099352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
9801 DUPONT AVE S STE 110, Bloomington, MN 55431
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Secondary Practice Locations 3

Location 11201 Greeley Ave N Ste 1215Glencoe, MN 55336-2135 · Phone (612) 355-6510 · Fax (612) 643-9630
Location 28501 Golden Valley Rd Ste 200Golden Valley, MN 55427-4472 · Phone (612) 355-6510
Location 31455 Montreal St SEHutchinson, MN 55350-3318 · Phone (612) 355-6510 · Fax (612) 713-9360

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

MEHDI ROOZBAHANI MD
Ophthalmology (Retina Specialist)
9801 DUPONT AVE S STE 110
BLOOMINGTON, MN 55431
Hennepin County (612) 355-6510

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 Minnesota Retina Associates, LLC's NPI number?

The NPI number for Minnesota Retina Associates, LLC is 1356099352. It was assigned to this organization in the NPPES registry on March 17, 2022.

Where is Minnesota Retina Associates, LLC located?

Minnesota Retina Associates, LLC is located at 9801 Dupont Ave S Ste 110, Bloomington, MN 55431. The listed phone number is (612) 355-6510.

What is Minnesota Retina Associates, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

What insurance does Minnesota Retina Associates, LLC accept?

Health plans from Medica list Minnesota Retina Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minnesota Retina Associates, LLC was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.