Minnesota Eye Laser & Surgery Centers, LLC
NPI #1720059421 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1720059421
- Entity Type
- Organization
- Organization Name
- Minnesota Eye Laser & Surgery Centers, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 30, 2006
- Last Updated
- Apr 16, 2020
Practice Location
- Address
- 9801 DUPONT AVE S
- Address 2
- SUITE 100
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-3100
- Phone
- (952) 888-5800
Authorized Official
- Name
- CLIFTON BAZHAW
- Title
- SR VP REVENUE CYCLE
- Phone
- (469) 270-6658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ophthalmologic Surgery — Ophthalmologic Surgery |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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