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SPENCER EYE SURGERY & LASER CENTER, LLC
NPI 1467506907
Clinic/Center - Ambulatory Surgical in Camarillo, CA

Active since January 22, 2007CLIA 05D1093661 · Waiver
2486 N PONDEROSA DR, SUITE D110, CAMARILLO, CA 93010(805) 983-0923(805) 484-5857 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Dec 9, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2023).

About Spencer Eye Surgery & Laser Center, Llc NPPES

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

SPENCER EYE SURGERY & LASER CENTER, LLC (NPI 1467506907) is a healthcare organization registered as an ambulatory surgical in Camarillo, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Clifton C Bazhaw, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1467506907
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPENCER EYE SURGERY & LASER CENTER, LLC
Location Address2486 N PONDEROSA DR, SUITE D110Camarillo, CA 93010-2376
Mailing Address1200 W Gonzales Rd Ste 200Oxnard, CA 93036-3074 · (805) 983-0923 · Fax (805) 983-0976
Phone(805) 983-0923
Fax(805) 484-5857
Organization SubpartNo
Authorized OfficialClifton C BazhawChief Revenue Officer · (214) 893-0471
Enumeration DateJanuary 22, 2007
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1467506907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · S551002
2486 N PONDEROSA DR, Camarillo, CA 93010
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Eye Surgery & Laser Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120131000769Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 05D1093661

Spencer Eye Surgery & Laser Center · Camarillo, CA
Active · expires Dec 28, 2026
CLIA Number05D1093661
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorLouis M. Spencer
Laboratory Phone(805) 983-0923
Laboratory LocationSpencer Eye Surgery & Laser Center2486 Ponderosa Dr North Suite D-110, Camarillo, CA 93010
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 3

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.
253 services149 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.
76 services45 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.
38 services27 patients

Other Providers at the Same Location NPPES 14

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

VENTURA COUNTY GASTROENTEROLOGY MEDICAL GROUP
Internal Medicine (Gastroenterology)
2486 N PONDEROSA DR, SUITE D-206
CAMARILLO, CA 93010
Ventura County (805) 983-0521
HARRIS & KING HEALTH SERVICES INC
Physical Therapist
2486 N PONDEROSA DR, SUITE D106
CAMARILLO, CA 93010
Ventura County (805) 484-5447
CHRISTINA VELASCO FNP
Nurse Practitioner (Family)
2486 N PONDEROSA DR, STE D114
CAMARILLO, CA 93010
Ventura County (866) 389-2727
LYNN J GARCIA-GALAN MD
Pediatrics
2486 N PONDEROSA DR, STE D211
CAMARILLO, CA 93010
Ventura County (805) 484-2818
ORTHOPEDIC AND SPINE INSTITUTE OF SOUTHERN CALIFORNIA, INC.
Orthopaedic Surgery
2486 N PONDEROSA DR, STE D114
CAMARILLO, CA 93010
Ventura County (805) 484-2783
MRS. PAMELA ELIZABETH MIKITA PTA
Physical Therapy Assistant
2486 N PONDEROSA DR
CAMARILLO, CA 93010
Ventura County (805) 484-5447
WILLIAM DOUGLAS BOCASH M.D.
Pediatrics
2486 N PONDEROSA DR, STE D211
CAMARILLO, CA 93010
Ventura County (805) 484-2818
MRS. CYNTHIA MARIE AFLAGUE PT
Physical Therapist
2486 N PONDEROSA DR, STE D106
CAMARILLO, CA 93010
Ventura County (805) 484-5447

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 Spencer Eye Surgery & Laser Center, LLC's NPI number?

The NPI number for Spencer Eye Surgery & Laser Center, LLC is 1467506907. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Spencer Eye Surgery & Laser Center, LLC located?

Spencer Eye Surgery & Laser Center, LLC is located at 2486 N Ponderosa Dr Suite D110, Camarillo, CA 93010. The listed phone number is (805) 983-0923.

What is Spencer Eye Surgery & Laser Center, LLC's specialty?

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

Is Spencer Eye Surgery & Laser Center, LLC enrolled in Medicare?

Yes. Spencer Eye Surgery & Laser Center, LLC is registered in the Medicare PECOS enrollment system.

When is Spencer Eye Surgery & Laser Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Spencer Eye Surgery & Laser Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1093661) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spencer Eye Surgery & Laser Center, LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.