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 1720059421

Minnesota Eye Laser & Surgery Centers, LLC is an Ambulatory Surgical Clinic/Center in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
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

9801 Dupont Ave S Ste 100
Bloomington, MN 55431-3100
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 · Licence 327379 (MN)
Ophthalmologic Surgery Clinic/Center Taxonomy 261QS0132X

Record details

NPI number1720059421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifton Bazhaw — Chief Revenue Officer · (214) 893-0471
Other names Minnesota Eye Laser & Surgery Centers; Minnesota Eye Laser & Surgery Centers
NPI enumeratedJanuary 30, 2006
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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