OrganizationActive
Retina Associates PC
NPI 1104045202 · Ophthalmology Physician · Fargo, ND
Provider details
- NPI number
- 1104045202
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Haynie, President(701) 277-4699
- License
- 6710 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4642 Amber Valley Pkwy S
Fargo, ND 58104-8612
Phone: (701) 277-4699
Fax: (701) 277-8357
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11247
Fargo, ND 58106-1247
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2007-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.