Retina Associates Pc in Fargo - Ophthalmology
Retina Associates Pc - NPI 1104045202
Retina Associates Pc is a Ophthalmology in Fargo, North Dakota. Retina Associates Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Retina Associates Pc is 1104045202. The last update date is 2007-10-10.
Retina Associates Pc's current location address is Po Box 11247, Fargo, North Dakota. You can contact this provider via phone number 7012774699 and fax number 7012778357. The mailing address for Retina Associates Pc is Po Box 11247, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina Associates Pc |
|---|---|
| Address | Po Box 11247, Fargo, North Dakota |
| Phone Number | 7012774699 |
| Fax Number | 7012778357 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haynie Donald Gary |
| Credentials | M.D. |
| Telephone Number | 7012774699 |
NPI Number Detail
| NPI Number | 1104045202 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | Po Box 11247 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581061247 |
| Phone Number | 7012774699 |
| Fax Number | 7012778357 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 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 incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11166 | ND | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Retina Associates Pc?
The Retina Associates Pc has been issued the NPI (National Provider Identifier) 1104045202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Retina Associates Pc is located?
The Retina Associates Pc is situated at the following address: Po Box 11247, Fargo, ND, 581061247.
What is the area of specialization for Retina Associates Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Retina Associates Pc is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104045202 to Retina Associates Pc?
The Retina Associates Pc received its 1104045202 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date were the Retina Associates Pc's details last updated?
The information pertaining to the Retina Associates Pc, including its address, specialty, and other details, was most recently updated on 2007-10-10.
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