Retina Consultants, LTD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA CONSULTANTS, LTD

Practice address

4450 31St Ave S Ste 200
Fargo, ND 58104-4556

Phone

(701) 293-9829

Fax

(701) 293-0111

NPI assigned

Dec 20, 2005

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Marsh, RHIT

Title

Business Office Supervisor

Phone

(701) 293-9829

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: mwaxman@rcfargo.intellechartdirect.net
• Direct secure messaging: tlooysen@rcfargo.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Retina Consultants, LTD

  • Ophthalmology Physician
  • Grand Forks, ND
  • NPI 1649462037
  NPPES parent name

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina Gilca, MD

  • Retina Specialist (Ophthalmology) Physician
  • Fargo, ND
  • NPI 1386028314
  Medicare reassignment Care Compare group NPD
• Max Ray Johnson, MD

  • Retina Specialist (Ophthalmology) Physician
  • Fargo, ND
  • NPI 1679559975
  Medicare reassignment Care Compare group NPD
• Tyler Looysen, MD, MPH

  • Retina Specialist (Ophthalmology) Physician
  • Fargo, ND
  • NPI 1134614381
  Medicare reassignment Care Compare group NPD
• Matthew Debiec, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bethesda, MD
  • NPI 1851527766

  ND

  Medicare reassignment Care Compare group NPD
• Matthew Hockert, PA-C

  • Physician Assistant
  • Fargo, ND
  • NPI 1144842089
  Medicare reassignment Care Compare group
• Deepak Mangla, M.D.

  • Ophthalmology Physician
  • Lapeer, MI
  • NPI 1942648902

  ND

  Medicare reassignment NPD
• Jenny K Marsden, PA

  • Physician Assistant
  • Moorhead, MN
  • NPI 1164678660

  ND

  Medicare reassignment NPD
• Ravi Rashmikant Pandit, MD, MPH

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
  • NPI 1831469881

  ND

  Medicare reassignment NPD
• Michael D. Waxman, MD

  • Ophthalmology Physician
  • Renton, WA
  • NPI 1235217134
  NPD
• Thomas J Grube, MD

  • Ophthalmology Physician
  • Mandan, ND
  • NPI 1659328516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1972589182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044556",
            "telephone_number": "701-293-9829",
            "fax_number": "701-293-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044556",
            "telephone_number": "701-293-9829",
            "fax_number": "701-293-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "701-293-9829",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Therapy & Counseling, PLLC
• Restore Therapy and Wellness
• Resurgence Recovery LLC
• Resurgent Health, PLLC (Resurgent Health)
• Retina Associates PC
• Jenna Kay Retterath
• Sandra W Retzlaff, LRD
• Angela Reule, RD
• Patric A Reuter, CRNA
• Olivia Revels-Strother

• Retina Specialist (Ophthalmology) Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Retina Specialist (Ophthalmology) Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.