MINNESOTA EYE LASER & SURGERY CENTERS, LLC


Address: 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509
Phone: 9528885800

MINNESOTA EYE LASER & SURGERY CENTERS, LLC (NPI# 1316379647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316379647
Entity Type Organization
Organization Name MINNESOTA EYE LASER & SURGERY CENTERS, LLC
Other Organization Name MINNESOTA EYE LASER & SURGERY CENTERS
Practice Address 10709 Wayzata Blvd
Suite 100
Minnetonka
MN 55305-5509
Mailing Address 9801 Dupont Ave S
Sutie 425
Bloomington
MN 55431-3100
Practice Telephone 9528885800
Practice Fax Number 9525676156
Mailing Telephone 9528885800
Enumeration Date 2013-08-09
Last Update Date 2020-04-16
Authorized Official Name CLIFTON BAZHAW (SR VP REVENUE CYCLE)
Authorized Official Telephone 4692706658
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Minnesota Eye Laser & Surgery Centers Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578003208 Minnesota Eye Laser & Surgery Centers, LLC Clinic/Center 7125 Tamarack Rd Ste 200, Woodbury, MN 55125-1308 2017-02-28
1205152618 Minnesota Eye Laser & Surgery Centers, LLC Clinic/Center 11091 Ulysses Street Ne, Suite 400, Blaine, MN 55434-4237 2010-04-09
1720059421 Minnesota Eye Laser & Surgery Centers, LLC Clinic/Center 9801 Dupont Ave S, Suite 100, Bloomington, MN 55431-3100 2006-01-30
1619957115 Minnesota Eye Laser & Surgery Centers, LLC Clinic/Center 1965 11th Ave E, Maplewood, MN 55109-5167 2006-01-19

Office Location

Street Address 10709 WAYZATA BLVD
SUITE 100
City MINNETONKA
State MN
Zip Code 55305-5509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932173374 Minnesota Eye Consultants, Pa Optometrist 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-5509 2006-02-14
1952534232 Senior Community Services Bus 10709 Wayzata Blvd, Suite 111, Minnetonka, MN 55305-5509 2009-09-02
1780706366 Caregivers Network of Mpls., Inc Home Health 10709 Wayzata Blvd, Suite 121, Minnetonka, MN 55305-5509 2007-04-04
1417089731 Deborah Coen M.d. Psychiatric Services L.L.C. Psychiatry & Neurology 10709 Wayzata Blvd, Suite 245, Minnetonka, MN 55305-5509 2007-03-12
1598800732 Ralph Edmond Mckinney Psychologist 10709 Wayzata Blvd, # 202, Minnetonka, MN 55305-5509 2007-02-21
1740219898 Deborah Ruth Coen Psychiatry & Neurology 10709 Wayzata Blvd, Suite 245, Minnetonka, MN 55305-5509 2006-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1649739103 Gabriel Douglas Orem Occupational Therapist 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 2019-03-14
1750863106 Andrea Haglin Counselor 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 2018-09-02
1770934499 Acme Transportation Private Vehicle 11356 Cedar Pointe Dr, Minnetonka, MN 55305 2016-06-23
1841641743 Laine Cecily Hartwell Epp Counselor 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 2016-06-22
1407217367 Larissa Vados Acupuncturist 11654 Wayzata Blvd, Minnetonka, MN 55305 2016-03-18
1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
1558633784 Vickie Lynn Schaefer Social Worker 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 2012-02-03
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891297925 Pediatric Center Holdings, LLC Clinic/Center 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 2018-03-05
1336538297 Minnetonka Ambulatory Surgery Center LLC Clinic/Center 15450 Highway 7, Ste 200, Minnetonka, MN 55345-3522 2015-01-15
1952898405 Pediatric Center Holdings, LLC Clinic/Center 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 2018-04-20
1952405284 Childrens Health Care Services Inc Clinic/Center 6050 Clearwater Drive, Childrens Minnetonka Ambulatory Surgical Ctr, Minnetonka, MN 55343 2006-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669079992 Woodbury Surgery Center, LLC Clinic/Center 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 2020-10-09
1902410368 Inspired Spine Surgcenter LLC Clinic/Center 7400 France Ave S Ste 102, Edina, MN 55435-4738 2020-09-03
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1215573209 Hiawatha Surgery Center LLC Clinic/Center 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 2019-11-25
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1942760285 Altru Health System Ambulatory Surgery Centers LLC Clinic/Center 400 S Minnesota St Ste B, Crookston, MN 56716-1808 2019-03-22
1396229746 Avera Marshall Clinic/Center 1521 Carlson St Ste 200, Marshall, MN 56258-2626 2018-09-21
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1922526961 Blaine Asc, LLC Clinic/Center 11225 Ulysses Street Northeast, Blaine, MN 55434 2017-08-30
1265959795 Bhatti Gi Surgery Center LLC Clinic/Center 1447 White Oak Dr, Chaska, MN 55318 2017-08-25
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Competitor

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City MINNETONKA
Zip Code 55305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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