Organization
REGIONAL EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON BAZHAW (VP REVENUE CYCLE)
(469) 270-6658
Entity
Organization
Contact information
Practice address
1455 MONTREAL ST SE, HUTCHINSON, MN 55350
(320) 587-6308
(320) 587-2974
Mailing address
1455 MONTREAL ST SE, PO BOX 699, HUTCHINSON, MN 55350-0699
(320) 587-6308
(320) 587-2974
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
01/19/2007
Last updated
05/16/2023
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