OrganizationActive
Minnesota Retina Associates, LLC
NPI 1356099352 · Retina Specialist (Ophthalmology) Physician · Bloomington, MN
Provider details
- NPI number
- 1356099352
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Clifton Bazhaw, Sr Vice President Revenue Cycle
Practice location
9801 Dupont Ave S Ste 110
Bloomington, MN 55431-3179
Phone: (612) 355-6510
Mailing address
8401 Golden Valley Rd Ste 330
Golden Valley, MN 55427-4488
Registry dates
- Enumerated
- 2022-03-17
- Last updated
- 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.