RETINA CENTER PA NPI 1689604316

NPI Information

RETINA CENTER PA is a retina specialist ophthalmology in Minneapolis, MN. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA CENTER PA NPI is 1689604316. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Retina Center Of Minnesota.

The provider's business location address is:

710 E 24TH ST
SUITE 304
MINNEAPOLIS, MN
ZIP 55404-846
Phone: (612) 871-2292
Fax: (952) 460-5274

The provider's authorized official is Abdhish Raman Bhavsar .
The authorized official title is President and has the following contact phone number (612) 871-2292.

The CLIA number assigned to this NPI record is 24D2174199 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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