RETINA CONSULTANTS, LTD (NPI# 1972589182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972589182 |
| Entity Type | Organization |
| Organization Name | RETINA CONSULTANTS, LTD |
| Practice Address |
2829 University Dr S Ste 204 Fargo ND 58103-6050 |
| Practice Telephone | 7012939829 |
| Practice Fax Number | 7012930111 |
| Mailing Telephone | 7012939829 |
| Mailing Fax Number | 7012930111 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MELISSA MARSH (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Telephone | 7012939829 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649462037 | Retina Consultants, Ltd | Ophthalmology | 4350 S Washington St, Suite #112, Grand Forks, ND 58201-7184 | 2007-08-10 |
| 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 |
| Street Address |
2829 UNIVERSITY DR S STE 204 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559975 | Max Ray Johnson | Ophthalmology | 2829 University Dr S Ste 204, Fargo, ND 58103-6050 | 2005-12-19 |
| 1386028314 | Marina Gilca | Ophthalmology | 2829 University Dr S Ste 204, Fargo, ND 58103-6050 | 2015-07-20 |
| 1366428666 | Craig Mark Mason | Ophthalmology | 2829 University Dr S Ste 204, Fargo, ND 58103-6050 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559975 | Max Ray Johnson | Ophthalmology | 2829 University Dr S Ste 204, Fargo, ND 58103-6050 | 2005-12-19 |
| 1457987570 | Ihc Health Services Inc | Ophthalmology | 2829 University Dr S, Fargo, ND 58103-6050 | 2020-03-20 |
| 1386028314 | Marina Gilca | Ophthalmology | 2829 University Dr S Ste 204, Fargo, ND 58103-6050 | 2015-07-20 |
Please comment or provide details below to improve the information on RETINA CONSULTANTS, LTD.
| 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.