THE EYE SURGERY CENTER OF PLYMOUTH, LLC
NPI 1073462487
Clinic/Center - Ambulatory Surgical in Plymouth, MN
About The Eye Surgery Center Of Plymouth, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE EYE SURGERY CENTER OF PLYMOUTH, LLC (NPI 1073462487) is a healthcare organization registered as an ambulatory surgical in Plymouth, Minnesota and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Melissa Benson, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2341125
The Eye Surgery Center Of Plymouth, LLC · Plymouth, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is The Eye Surgery Center Of Plymouth, LLC's NPI number?
The NPI number for The Eye Surgery Center Of Plymouth, LLC is 1073462487. It was assigned to this organization in the NPPES registry on January 27, 2026.
Where is The Eye Surgery Center Of Plymouth, LLC located?
The Eye Surgery Center Of Plymouth, LLC is located at 15700 37th Ave N Ste 210, Plymouth, MN 55446. The listed phone number is (763) 302-2800.
What is The Eye Surgery Center Of Plymouth, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does The Eye Surgery Center Of Plymouth, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2341125) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for The Eye Surgery Center Of Plymouth, LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
