REGIONAL EYE SPECIALISTS LLC NPI 1619703006

NPI Information

  • NPI: 1619703006
  • Provider Name: REGIONAL EYE SPECIALISTS LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 1200 CHASKA CREEK WAY STE 110
    CHASKA, MN
    ZIP 55318
  • Phone: (952) 466-3937

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NPI Details

REGIONAL EYE SPECIALISTS LLC is an eyewear supplier in Chaska, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. REGIONAL EYE SPECIALISTS LLC NPI is 1619703006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 CHASKA CREEK WAY STE 110
CHASKA, MN
ZIP 55318-749
Phone: (952) 466-3937
Fax: (952) 466-3936

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

The enumeration date for this NPI number is 9/11/2024 and was last updated on 3/4/2025.

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
1207W00000XOphthalmologyNo
2332H00000XEyewear SupplierYes

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: 11/21/2025

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