OrganizationActive
Retina Associates PC
NPI 1104045202 · Ophthalmology Physician · Fargo, ND
Retina Associates PC is a Ophthalmology Physician organization in Fargo, ND (NPI 1104045202).
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(90/100 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
Frequently asked questions
- What is Retina Associates PC's NPI number?
- Retina Associates PC's National Provider Identifier (NPI) is 1104045202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Retina Associates PC?
- Retina Associates PC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Retina Associates PC located?
- Retina Associates PC's practice location on file with NPPES is 4642 Amber Valley Pkwy S, Fargo, ND 58104-8612.
- What is Retina Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Retina Associates PC is (701) 277-4699.
- Who is the authorized official for Retina Associates PC?
- The authorized official listed on Retina Associates PC's NPPES record is Gary Haynie, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Retina Associates PC's NPI active?
- Yes — Retina Associates PC's NPI (1104045202) is active in the NPPES registry as of the last update on 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.