Organization
RETINA ASSOCIATES PC
Active
Organization
RETINA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DONALD HAYNIE M.D. (PRESIDENT)
(701) 277-4699
Entity
Organization
Contact information
Practice address
4642 AMBER VALLEY PKWY S, FARGO, ND 58104-8612
(701) 277-4699
(701) 277-8357
Mailing address
PO BOX 11247, FARGO, ND 58106-1247
(701) 277-4699
(701) 277-8357
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6710
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11166
—
ND
Enumeration date
04/25/2007
Last updated
10/10/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up