RETINA CONSULTANTS, LTD (NPI# 1649462037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649462037 |
| Entity Type | Organization |
| Organization Name | RETINA CONSULTANTS, LTD |
| Practice Address |
4350 S Washington St Suite #112 Grand Forks ND 58201-7184 |
| Mailing Address |
2829 S University Drive Suite 204 Fargo ND 58103 |
| Practice Telephone | 7012939829 |
| Practice Fax Number | 7012930111 |
| Mailing Telephone | 7012939829 |
| Mailing Fax Number | 7012930111 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | LAURIE POLKA (ASSISTANT ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 7012939829 |
| Is Organization Subpart | Y |
| Parent Organization Name | RETINA CONSULTANTS, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700175395 | Retina Consultants, Ltd | Ophthalmology | 17 The Boulevard Saint Louis, Saint Louis, MO 63117-1118 | 2011-04-04 |
| 1730371121 | Retina Consultants, Ltd | Ophthalmology | 1405 Anne St Nw, Bemidji, MN 56601-5113 | 2007-08-10 |
| 1013085992 | Retina Consultants, Ltd | Specialist | 2454 E Dempster St, 400, Des Plaines, IL 60016-5315 | 2006-12-01 |
| 1972589182 | Retina Consultants, Ltd | Ophthalmology | 2829 University Dr S Ste 204, Fargo, ND 58103-6050 | 2005-12-20 |
| Street Address |
4350 S WASHINGTON ST SUITE #112 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932547023 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 4350 S Washington St, Suite 104, Grand Forks, ND 58201-7184 | 2013-06-11 |
| 1619121662 | Kristian R Anderson | Chiropractor | 4350 S Washington St, Ste 100, Grand Forks, ND 58201-7184 | 2008-11-04 |
| 1720237258 | Performance Chiropractic Pllc | Chiropractor | 4350 S Washington St, Suite 100, Grand Forks, ND 58201-7184 | 2008-09-09 |
| 1407036627 | Stacy Lane Hallgren | Chiropractor | 4350 S Washington St, Suite 100, Grand Forks, ND 58201-7184 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538594379 | Gregory Scott Emfield | Ophthalmology | 4440 S Washington St- Altru Professional Center, Grand Forks, ND 58201 | 2013-09-12 |
| 1518212893 | Landon James Karren | Ophthalmology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2012-07-23 |
| 1306057450 | Christian G Khairallah | Ophthalmology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-05-24 |
| 1851498638 | Ronald J Brockman | Ophthalmology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2006-09-20 |
| 1205933082 | Norman T Byers | Ophthalmology | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724492 | Vance Thompson Vision Nd Prof LLC | Ophthalmology | 4776 28th Ave S, Suite 201, Fargo, ND 58104-8523 | 2016-03-29 |
| 1447348602 | Fercho Cataract & Eye Clinic, Inc. | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1487747267 | Steven M Bagan | Ophthalmology | 4344 20th Ave S, Fargo, ND 58103-4434 | 2006-10-02 |
| 1326130055 | Northeast Eye Center PC | Ophthalmology | 404 Hwy 2 E, Devils Lake, ND 58301-0130 | 2006-09-29 |
| 1992897615 | Lee Dannenberg | Ophthalmology | 404 Highway 2 East, Devils Lake, ND 58301-0130 | 2006-09-29 |
| 1841212404 | Thomas I Strinden | Ophthalmology | 4344 20th Ave Sw, Fargo, ND 58103-7436 | 2006-07-24 |
| 1447297189 | Aaron C Fortney | Ophthalmology | 3119 N 14th St, Bismarck, ND 58503-0664 | 2006-06-01 |
| 1659328516 | Thomas J Grube | Ophthalmology | 107 3rd Ave Nw, Mandan, ND 58554-3129 | 2006-05-27 |
| 1255386223 | Trinity Health | Ophthalmology | 120 Burdick Expy E, Minot, ND 58701-4434 | 2006-05-24 |
| 1649249723 | Mark C Raymond | Ophthalmology | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.