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CHU LASER EYE INSTITUTE PA NPI 1407977762


NPI Information

NPI: 1407977762
Provider Name: CHU LASER EYE INSTITUTE, PA

Doing Business As: CHU VISION INSTITUTE, PA

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 24D2041048

Address:
9117 LYNDALE AVE S
BLOOMINGTON, MN
ZIP 55420
Phone: (952) 835-0965
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CHU LASER EYE INSTITUTE, PA is a specialist in Bloomington, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHU LASER EYE INSTITUTE, PA NPI is 1407977762. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chu Vision Institute, Pa.

The provider's business location address is:

9117 LYNDALE AVE S
BLOOMINGTON, MN
ZIP 55420-522
Phone: (952) 835-0965
Fax: (952) 835-1092

The provider's authorized official is Yunsen Ralph Chu .
The authorized official title is President Medical Director and has the following contact phone number (952) 835-0965.

The CLIA number assigned to this NPI record is 24D2041048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 2/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist38792MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180000911MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.