Organization
MINNESOTA EYE CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
9801 DUPONT AVE S, SUITE 200, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 884-2656
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 884-9155
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
291U00000X
Clinical Medical Laboratory
24D2023179
MN
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/08/2006
Last updated
03/02/2026
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