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

NPI Status: Active since March 17, 2022

Contact Information

9801 DUPONT AVE S STE 110
BLOOMINGTON, MN
ZIP 55431
Phone: (612) 355-6510

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  • Organization
  • Ophthalmology
  • Retina Specialist
  • Accepts Insurance

About MINNESOTA RETINA ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Minnesota Retina Associates, Llc, a provider established in Bloomington, Minnesota operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1356099352 assigned on March 2022. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Clifton Chad Bazhaw (Sr Vice President Revenue Cycle)

NPI
1356099352
Provider Name
MINNESOTA RETINA ASSOCIATES, LLC
Entity Type
Organization
Location Address
9801 DUPONT AVE S STE 110 BLOOMINGTON, MN 55431
Location Phone
(612) 355-6510
Mailing Address
8401 GOLDEN VALLEY RD STE 330 GOLDEN VALLEY, MN 55427
Mailing Phone
(763) 416-7600
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2022
Last Update Date
10-23-2025
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Location Map

Secondary Locations

  • 1201 Greeley Ave N Ste 1215
    Glencoe, MN 55336
    (612) 355-6510
  • 1455 Montreal St SE
    Hutchinson, MN 55350
    (612) 355-6510
  • 8501 Golden Valley Rd Ste 200
    Golden Valley, MN 55427
    (612) 355-6510

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology Retina Specialist

Taxonomy Code
207WX0107X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLIFTON CHAD BAZHAW

Authorized Official Title
SR VICE PRESIDENT REVENUE CYCLE
Authorized Official Phone
(469) 270-6658

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356099352, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 0 + 9 + 1 + 8 + 3 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1356099352.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ophthalmology (Retina Specialist)
9801 DUPONT AVE S STE 110
BLOOMINGTON, MN 55431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356099352, enumerated as an "organization" on March 17, 2022.

The provider is located at 9801 DUPONT AVE S STE 110 BLOOMINGTON, MN 55431 and the phone number is (612) 355-6510.

Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.