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MINNESOTA EYE LASER & SURGERY CENTERS, LLC
NPI 1205152618
Clinic/Center - Ambulatory Surgical in Blaine, MN

Active since April 09, 2010CLIA Certified · 4 labs
11091 ULYSSES STREET NE, SUITE 400, BLAINE, MN 55434(952) 888-5800(952) 567-6156 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2026, Apr 16, 2020, Feb 22, 2017 (3 updates tracked since 2017).

About Minnesota Eye Laser & Surgery Centers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA EYE LASER & SURGERY CENTERS, LLC (NPI 1205152618), doing business as Minnesota Eye Laser & Surgery Centers, is a healthcare organization registered as an ambulatory surgical in Blaine, Minnesota and active in the NPI registry since April 2010. The organization holds 4 active CLIA laboratory certificates and lists Clifton Bazhaw, Sr Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1205152618
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMINNESOTA EYE LASER & SURGERY CENTERS, LLC
Location Address11091 ULYSSES STREET NE, SUITE 400Blaine, MN 55434-4237
Mailing Address9801 Dupont Ave S, Suite 425Bloomington, MN 55431-3100 · (952) 888-5800
Phone(952) 888-5800
Fax(952) 567-6156
Organization SubpartNo
Authorized OfficialClifton BazhawSr Vp Revenue Cycle · (214) 893-0471
Enumeration DateApril 9, 2010
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1205152618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11091 ULYSSES STREET NE, Blaine, MN 55434
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Other Names 1

Doing Business AsMinnesota Eye Laser & Surgery Centers

Other Identifiers 1

Other24D2007008MN · Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 24D2007008

Minnesota Eye Laser & Surgery Centers LLC · Blaine, MN
Active · expires May 4, 2028
CLIA Number24D2007008
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDominika Forsyth
Laboratory Phone(952) 888-5800
Laboratory LocationMinnesota Eye Laser & Surgery Centers LLC11091 Ulysses Street NE Suite 200, Blaine, MN 55449
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D0893659

Minnesota Eye Laser & Surgery Center · Bloomington, MN
Active · expires Oct 25, 2026
CLIA Number24D0893659
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDominika Forsyth
Laboratory Phone(612) 884-7568
Laboratory LocationMinnesota Eye Laser & Surgery Center9801 Dupont Ave So Suite 100, Bloomington, MN 55431
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2144133

Minnesota Eye Laser & Surgery Centers, LLC · Woodbury, MN
Active · expires Feb 11, 2028
CLIA Number24D2144133
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorOmar Awad
Laboratory Phone(952) 888-5800
Laboratory LocationMinnesota Eye Laser & Surgery Centers, LLC7125 Tamarack Road Suite 200, Woodbury, MN 55125
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2296669

Minnesota Eye Laser & Surgery Centers LLC · Minnetonka, MN
Active · expires Jan 3, 2028
CLIA Number24D2296669
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorChristine L. Larsen
Laboratory Phone(952) 888-5800
Laboratory LocationMinnesota Eye Laser & Surgery Centers LLC12501 Whitewater Dr Ste 320, Minnetonka, MN 55343
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
487 services303 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
235 services152 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
80 services16 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
59 services32 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
47 services38 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
39 services27 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANA P GROESCHEL M.D.
Psychiatry & Neurology (Neurology)
11091 ULYSSES STREET NE, SUITE 100
BLAINE, MN 55434
Anoka County (612) 879-1000

Frequently 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 Minnesota Eye Laser & Surgery Centers, LLC's NPI number?

The NPI number for Minnesota Eye Laser & Surgery Centers, LLC is 1205152618. It was assigned to this organization in the NPPES registry on April 9, 2010. The provider is doing business as Minnesota Eye Laser & Surgery Centers.

Where is Minnesota Eye Laser & Surgery Centers, LLC located?

Minnesota Eye Laser & Surgery Centers, LLC is located at 11091 Ulysses Street NE Suite 400, Blaine, MN 55434. The listed phone number is (952) 888-5800.

What is Minnesota Eye Laser & Surgery Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Minnesota Eye Laser & Surgery Centers, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Minnesota Eye Laser & Surgery Centers, LLC accept?

Health plans from HealthPartners list Minnesota Eye Laser & Surgery Centers, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minnesota Eye Laser & Surgery Centers, LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.