Organization
MINNESOTA EYE LASER & SURGERY CENTERS, LLC
Active
Other names
Minnesota Eye Laser & Surgery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
9801 DUPONT AVE S, SUITE 100, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
327379
MN
261QS0132X
Ophthalmologic Surgery Clinic/Center
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—
Other
Enumeration date
01/30/2006
Last updated
03/02/2026
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