MINNESOTA EYE LASER & SURGERY CENTERS LLC NPI 1205152618

NPI Information

  • NPI: 1205152618
  • Provider Name: MINNESOTA EYE LASER & SURGERY CENTERS, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MINNESOTA EYE LASER & SURGERY CENTERS
  • Address: 11091 ULYSSES STREET NE
    SUITE 400
    BLAINE, MN
    ZIP 55434
  • Phone: (952) 888-5800

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NPI Details

MINNESOTA EYE LASER & SURGERY CENTERS, LLC is an ambulatory surgical clinic center in Blaine, MN. MINNESOTA EYE LASER & SURGERY CENTERS, LLC NPI is 1205152618. The provider is registered as an organization entity type.
The provider Is Doing Business As Minnesota Eye Laser & Surgery Centers.

The provider's business location address is:

11091 ULYSSES STREET NE
SUITE 400
BLAINE, MN
ZIP 55434-237
Phone: (952) 888-5800
Fax: (952) 567-6156

The provider's authorized official is Clifton Bazhaw .
The authorized official title is Sr Vp Revenue Cycle and has the following contact phone number (469) 270-6658.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of brow paralysis (HCPCS:67900)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)

The enumeration date for this NPI number is 4/9/2010 and was last updated on 4/16/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
124D2007008OTHERMINNESOTACLIA

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: 3/30/2025

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