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Contact Information

REGIONAL EYE SPECIALISTS LLC
1200 CHASKA CREEK WAY STE 110
CHASKA, MN55318-2749
 Phone: 952-466-3937
 Fax: 952-466-3936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for REGIONAL EYE SPECIALISTS LLC

NPI # 1619703006
LBN Legal business name REGIONAL EYE SPECIALISTS LLC
Authorized official CLIFTON BAZHAW - (CHIEF REVENUE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2024
Last updated 03/04/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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