# MINNESOTA EYE LASER & SURGERY CENTERS, LLC

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

## Provider details

- **NPI number:** 1932882230
- **Authorized official:** CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 12501 WHITEWATER DR STE 320, MINNETONKA, MN 55343-9436
- **Practice address phone:** (952) 888-5800
- **Practice address fax:** (952) 567-6156
- **Mailing address:** 9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
- **Mailing address phone:** (952) 888-5800
- **Mailing address fax:** (952) 567-6156

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 03/02/2026