# MINNESOTA EYE LASER & SURGERY CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Minnesota Eye Laser & Surgery Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316379647
- **Authorized official:** CLIFTON BAZHAW (SR VP REVENUE CYCLE)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 10709 WAYZATA BLVD, SUITE 100, MINNETONKA, MN 55305-5509
- **Practice address phone:** (952) 888-5800
- **Practice address fax:** (952) 567-6156
- **Mailing address:** 9801 DUPONT AVE S, SUTIE 425, BLOOMINGTON, MN 55431-3100
- **Mailing address phone:** (952) 888-5800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2013
- **Last updated:** 03/02/2026