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Minnesota Eye Laser & Surgery Centers, LLC

Ambulatory Surgical Clinic/Center in Blaine, MN · enumerated 2010 · authorized official Clifton Bazhaw, Sr Vp Revenue Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205152618

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Registry record

Entity type Organization (Type 2)
Legal business name Minnesota Eye Laser & Surgery Centers, LLC
Other name <Unavail>
Practice address 11091 Ulysses Street Ne, Suite 400, Blaine, MN, 55434
Phone (952) 888-5800
Fax (952) 567-6156
Enumeration date Apr 9, 2010
Last updated in NPPES Mar 2, 2026

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Clifton Bazhaw
Title Sr Vp Revenue Cycle
Phone (214) 893-0471

Other identifiers

Identifier Type State Issuer
24D2007008 Other MN CLIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Minnesota Eye Laser & Surgery Centers, LLC?
The NPI for Minnesota Eye Laser & Surgery Centers, LLC is 1205152618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Minnesota Eye Laser & Surgery Centers, LLC?
NPPES lists Clifton Bazhaw (Sr Vp Revenue Cycle) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-02.