Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnesota Eye Laser & Surgery Centers, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1205152618

Minnesota Eye Laser & Surgery Centers, LLC is an Ambulatory Surgical Clinic/Center in Blaine, Minnesota. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11091 Ulysses St NE Ste 400
Blaine, MN 55434-4237
Phone: (952) 888-5800
Fax: (952) 567-6156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1205152618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifton Bazhaw — Sr Vp Revenue Cycle · (214) 893-0471
Other names Minnesota Eye Laser & Surgery Centers; Minnesota Eye Laser & Surgery Centers
NPI enumeratedApril 9, 2010
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100

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