# SPENCER EYE SURGERY & LASER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467506907
- **Authorized official:** CLIFTON C BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 2486 N PONDEROSA DR, SUITE D110, CAMARILLO, CA 93010-2376
- **Practice address phone:** (805) 983-0923
- **Practice address fax:** (805) 484-5857
- **Mailing address:** 1200 W GONZALES RD STE 200, OXNARD, CA 93036-3074
- **Mailing address phone:** (805) 983-0923
- **Mailing address fax:** (805) 983-0976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S551002 | CA | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 02/05/2026
