Organization
MINNESOTA EYE LASER & SURGERY CENTERS, LLC
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
12501 WHITEWATER DR STE 320, MINNETONKA, MN 55343-9436
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
03/02/2026
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