Spencer Eye Surgery & Laser Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S551002 Issued in CA

Legal business name

SPENCER EYE SURGERY & LASER CENTER, LLC

Practice address

2486 N Ponderosa Dr
Suite D110
Camarillo, CA 93010-2376

Phone

(805) 983-0923

Fax

(805) 484-5857

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Clifton C Bazhaw

Title

Chief Revenue Officer

Phone

(214) 893-0471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001002

Legal name

SPENCER EYE SURGERY AND LASER CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 18, 1985

Last certification

Jul 24, 2018

Ownership / control type

Proprietary

Facility address

2486 Ponderosa Dr N Ste D-110
Camarillo, CA 93010

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Paul J Dougherty M D Inc

  • Ophthalmology Physician
  • Westlake Village, CA
  • NPI 1649203639

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Richard Spencer, M.D.

  • Ophthalmology Physician
  • Oxnard, CA
  • NPI 1821127770
  NPD
• Robert J. Martin Jr., M.D.

  • Anesthesiology Physician
  • Oxnard, CA
  • NPI 1104841535
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1467506907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W GONZALES RD STE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930363074",
            "telephone_number": "805-983-0923",
            "fax_number": "805-983-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR",
            "address_2": "SUITE D110",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-983-0923",
            "fax_number": "805-484-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER EYE SURGERY & LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BAZHAW",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "214-893-0471"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S551002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spanish Hills Surgery Center, LLC
• Lisa Marie Sparrow
• Nancy Spears, MFT
• Spectera
• Dawn E;Izabeth Spence, R.N.
• Mason Sperakos
• Kathleen Marie Spink
• Jessica Spinks
• Sprague, Packham & Pizza Dental Corporation
• Robert W Sprague, DDS

• Ambulatory Surgical Clinic/Center in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.