Regional Eye Specialists LLC
Eyewear Supplier (Equipment, not the service) in Chaska, MN. Organization (NPI-2).
NPI number1619703006
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1619703006
- Entity type
- Organization (NPI-2)
- Legal business name
- Regional Eye Specialists LLC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2024
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 207W00000X | Ophthalmology | – | – |
Practice location
1200 Chaska Creek Way Ste 110Chaska, MN 55318-2749
Phone 952-466-3937 · Fax 952-466-3936
Mailing address
1200 Chaska Creek Way Ste 110Chaska, MN 55318-2749
Phone 952-466-3937 · Fax 952-466-3936
Authorized official
Clifton Chad Bazhaw
Chief Revenue Officer
4692706658
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