Minnesota Retina Associates, LLC
NPI 1356099352 · Retina Specialist (Ophthalmology) Physician · Bloomington, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minnesota Retina Associates, LLC is a Retina Specialist (Ophthalmology) Physician organization in Bloomington, MN (NPI 1356099352).
Provider details
- NPI number
- 1356099352
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clifton Bazhaw, Sr Vice President Revenue Cycle(469) 270-6658
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Additional practice locations (3)
- 1201 Greeley Ave N Ste 1215Glencoe, MN 55336-2135Phone: (612) 355-6510Fax: (612) 643-9630
- 8501 Golden Valley Rd Ste 200Golden Valley, MN 55427-4472Phone: (612) 355-6510
- 1455 Montreal St SeHutchinson, MN 55350-3318Phone: (612) 355-6510Fax: (612) 713-9360
Registry dates
- Enumerated
- 2022-03-17
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Minnesota Retina Associates, LLC's NPI number?
- Minnesota Retina Associates, LLC's National Provider Identifier (NPI) is 1356099352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Retina Associates, LLC?
- Minnesota Retina Associates, LLC is classified in the NPPES registry as Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Minnesota Retina Associates, LLC located?
- Minnesota Retina Associates, LLC's practice location on file with NPPES is 9801 Dupont Ave S Ste 110, Bloomington, MN 55431-3179.
- What is Minnesota Retina Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Retina Associates, LLC is (612) 355-6510.
- Does Minnesota Retina Associates, LLC accept Medicare?
- Minnesota Retina Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Minnesota Retina Associates, LLC?
- The authorized official listed on Minnesota Retina Associates, LLC's NPPES record is Clifton Bazhaw, Sr Vice President Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Retina Associates, LLC's NPI active?
- Yes — Minnesota Retina Associates, LLC's NPI (1356099352) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.