Regional Eye Specialists LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

REGIONAL EYE SPECIALISTS LLC

Practice address

1200 Chaska Creek Way Ste 110
Chaska, MN 55318-2749

Phone

(952) 466-3937

Fax

(952) 466-3936

NPI assigned

Sep 11, 2024

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clifton Chad Bazhaw

Title

Chief Revenue Officer

Phone

(469) 270-6658

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Regional Eye Specialists LLC

  • Ophthalmology Physician
  • Chaska, MN
  • NPI 1962597096

  9032010251

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Regional Eye Specialists LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Regional Eye Specialists LLC

  • Ophthalmology Physician
  • Chaska, MN
  • NPI 1962597096
  NPD tax ID
• Regional Eye Specialists, P.a.

  • Non-Pharmacy Dispensing Site
  • Hutchinson, MN
  • NPI 1134437064
  NPD tax ID

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Rae Barth, O.D.

  • Corneal and Contact Management Optometrist
  • Bloomington, MN
  • NPI 1548499676
  NPD
• Chad R. Dockter, OD

  • Optometrist
  • Eden Prairie, MN
  • NPI 1104975762
  NPD
• Amy Jean Freed, O.D.

  • Optometrist
  • Chaska, MN
  • NPI 1881741213
  NPD
• Christopher J Freed, O.D.

  • Optometrist
  • Chaska, MN
  • NPI 1770631889
  NPD
• Scott A Glaser, O.D.

  • Optometrist
  • Hutchinson, MN
  • NPI 1487644969
  NPD
• Jabin G Krassin

  • Ophthalmology Physician
  • Hastings, MN
  • NPI 1801092960
  NPD
• Abigail Nieuwsma

  • Ophthalmology Physician
  • Chaska, MN
  • NPI 1598343246
  NPD
• Joshua James Pfister, OD

  • Optometrist
  • Chaska, MN
  • NPI 1376336511
  NPD
• Aubree Thorseth, OD

  • Optometrist
  • Glencoe, MN
  • NPI 1104481985
  NPD
• Christopher R Wallyn, DO

  • Ophthalmology Physician
  • Hutchinson, MN
  • NPI 1013997188
  NPD
• Mark W Wellnitz, O.D.

  • Optometrist
  • Glencoe, MN
  • NPI 1528374600
  NPD
• Allan D Wortz, OD

  • Optometrist
  • Hutchison, MN
  • NPI 1598745671
  NPD

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1619703006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY STE 110",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182749",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHASKA CREEK WAY STE 110",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182749",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL EYE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "BAZHAW",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "469-270-6658"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Rasmussen
• RBF LLC (Rainbow Pharmacy)
• Marinda L Rebhahn, LMFT
• Recovery Partners, PC at Chaska
• Stephanie Amber Redmond, PHARM.D., CDE
• Regional Eye Specialists LLC
• Brian Eric Reishus, PHARMD
• Relaxation Dentistry
• Resilience Counseling LLC
• Restoration Chiropractic Chaska, PLLC

• Eyewear Supplier in Chaska, MN
• Providers in Chaska, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.