REGIONAL EYE SPECIALISTS LLC
NPI 1619703006
Eyewear Supplier in Chaska, MN

Active since September 11, 2024
1200 CHASKA CREEK WAY STE 110, CHASKA, MN 55318(952) 466-3937(952) 466-3936 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Sep 19, 2024, Sep 11, 2024 (3 updates tracked since 2024).

About Regional Eye Specialists Llc NPPES

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

REGIONAL EYE SPECIALISTS LLC (NPI 1619703006) is a healthcare organization registered as an eyewear supplier in Chaska, Minnesota and active in the NPI registry since September 2024. The organization lists Clifton Chad Bazhaw, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1619703006
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameREGIONAL EYE SPECIALISTS LLC
Location Address1200 CHASKA CREEK WAY STE 110Chaska, MN 55318-2749
Mailing Address1200 Chaska Creek Way Ste 110Chaska, MN 55318-2749 · (952) 466-3937 · Fax (952) 466-3936
Fax(952) 466-3936
Organization SubpartNo
Authorized OfficialClifton Chad BazhawChief Revenue Officer · (469) 270-6658
Enumeration DateSeptember 11, 2024
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1619703006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOphthalmologyTaxonomy 207W00000X
1200 CHASKA CREEK WAY STE 110, Chaska, MN 55318

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Optometrist
1200 CHASKA CREEK WAY STE 110
CHASKA, MN 55318
Ophthalmology
1200 CHASKA CREEK WAY STE 110
CHASKA, MN 55318
Ophthalmology
1200 CHASKA CREEK WAY STE 110
CHASKA, MN 55318

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 Regional Eye Specialists LLC's NPI number?

The NPI number for Regional Eye Specialists LLC is 1619703006. It was assigned to this organization in the NPPES registry on September 11, 2024.

Where is Regional Eye Specialists LLC located?

Regional Eye Specialists LLC is located at 1200 Chaska Creek Way Ste 110, Chaska, MN 55318. The listed phone number is (952) 466-3937.

What is Regional Eye Specialists LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Regional Eye Specialists LLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.