Organization
REGIONAL EYE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(469) 270-6658
Entity
Organization
Contact information
Practice address
1200 CHASKA CREEK WAY STE 110, CHASKA, MN 55318-2749
(952) 466-3937
(952) 466-3936
Mailing address
1200 CHASKA CREEK WAY STE 110, CHASKA, MN 55318-2749
(952) 466-3937
(952) 466-3936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
03/04/2025
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