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RETINA CONSULTANTS, LTD
NPI 1649462037
Ophthalmology in Grand Forks, ND

Active since August 10, 2007CLIA 35D2283152 · Waiver
4350 S WASHINGTON ST, SUITE #112, GRAND FORKS, ND 58201(701) 293-9829(701) 293-0111 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retina Consultants, Ltd NPPES

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

RETINA CONSULTANTS, LTD (NPI 1649462037) is a healthcare organization registered as an ophthalmology in Grand Forks, North Dakota and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Laurie Polka, Assistant Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1649462037
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CONSULTANTS, LTD
Location Address4350 S WASHINGTON ST, SUITE #112Grand Forks, ND 58201-7184
Mailing Address2829 S University Drive, Suite 204Fargo, ND 58103 · (701) 293-9829 · Fax (701) 293-0111
Phone(701) 293-9829
Fax(701) 293-0111
Organization SubpartYes
Authorized OfficialLaurie PolkaAssistant Administrative Manager · (701) 293-9829
Enumeration DateAugust 10, 2007
Last NPPES UpdateSeptember 7, 2017
✔ NPI 1649462037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
4350 S WASHINGTON ST, Grand Forks, ND 58201
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Other Identifiers 1

Medicare PINN70463ND

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2283152

Retina Consultants, Ltd · Fargo, ND
Active · expires May 31, 2027
CLIA Number35D2283152
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorMarina Gilca
Laboratory Phone(701) 293-9829
Laboratory LocationRetina Consultants, Ltd4450 31st Ave S, Suite 200, Fargo, ND 58104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. STACY LANE HALLGREN D.C., C.C.E.P., CST
Chiropractor
4350 S WASHINGTON ST, SUITE 100
GRAND FORKS, ND 58201
Grand Forks County (701) 732-2888
DR. KRISTIAN R ANDERSON D.C.
Chiropractor
4350 S WASHINGTON ST, STE 100
GRAND FORKS, ND 58201
Grand Forks County (701) 732-2888
PERFORMANCE CHIROPRACTIC PLLC
Chiropractor
4350 S WASHINGTON ST, SUITE 100
GRAND FORKS, ND 58201
Grand Forks County (701) 732-2888
ALTRU SPECIALTY SERVICES, INC
Durable Medical Equipment & Medical Supplies
4350 S WASHINGTON ST, SUITE 104
GRAND FORKS, ND 58201
Grand Forks County (701) 780-2436

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 Consultants, Ltd's NPI number?

The NPI number for Retina Consultants, Ltd is 1649462037. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Retina Consultants, Ltd located?

Retina Consultants, Ltd is located at 4350 S Washington St Suite #112, Grand Forks, ND 58201. The listed phone number is (701) 293-9829.

What is Retina Consultants, Ltd's specialty?

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

Does Retina Consultants, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2283152) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Retina Consultants, Ltd was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.