The Eye Surgery Center of Plymouth, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE EYE SURGERY CENTER OF PLYMOUTH, LLC

Practice address

15700 37TH Ave N Ste 210
Plymouth, MN 55446-3662

Phone

(763) 302-2800

NPI assigned

Jan 27, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Benson

Title

Chief Administrative Officer

Phone

(763) 302-2800

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1073462487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 37TH AVE N STE 210",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 37TH AVE N STE 210",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463662",
            "telephone_number": "763-302-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE SURGERY CENTER OF PLYMOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "763-302-2800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TC Healthcare
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• Malina Teodoru
• The Good Samaritan Staffing
• The Papillon Effect Wellness PLLC
• Rachel Marie Theisen
• Ryan O Theisen, LADC, LPCC
• Lisa Thelen-Bachmeier, RPH

• Ambulatory Surgical Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.