Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Retina Associates PC

Organization Ophthalmology Physician · NPI 1104045202

Retina Associates PC is an Ophthalmology Physician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4642 Amber Valley Pkwy S
Fargo, ND 58104-8612
Phone: (701) 277-4699
Fax: (701) 277-8357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 6710 (ND)

Record details

NPI number1104045202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Haynie — President · (701) 277-4699
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 10, 2007
Mailing addressPo Box 11247, Fargo, ND 58106-1247

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