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RETINA CONSULTANTS LTD NPI 1649462037


NPI Information

NPI: 1649462037
Provider Name: RETINA CONSULTANTS, LTD
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
4350 S WASHINGTON ST
SUITE #112
GRAND FORKS, ND
ZIP 58201
Phone: (701) 293-9829
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RETINA CONSULTANTS, LTD is an ophthalmology in Grand Forks, ND. The provider is 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. RETINA CONSULTANTS, LTD NPI is 1649462037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4350 S WASHINGTON ST
SUITE #112
GRAND FORKS, ND
ZIP 58201-184
Phone: (701) 293-9829
Fax: (701) 293-0111

The provider's authorized official is Laurie Polka .
The authorized official title is Assistant Administrative Manager and has the following contact phone number (701) 293-9829.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 9/7/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1N70463MEDICARE PINNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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