NPIMap

Organization Active NPI

Regional Eye Specialists LLC

  • Ophthalmology Physician
  • Chaska, MN
National Provider Identifier
1962597096
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

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

Mailing address

1200 Chaska Creek Way Ste 110
Chaska, MN 55318-2749
Phone (320) 587-6308

Other practice location 1

1201 Greeley Ave N
Glencoe, MN 55336-2135
Phone (320) 864-2020

Other practice location 2

204 Lewis Ave S
Watertown, MN 55388-4500
Phone (952) 955-3553

Other practice location 3

218 Main St S
Hutchinson, MN 55350-2571
Phone (320) 753-0000

Other practice location 4

1455 Montreal St SE
Hutchinson, MN 55350-0699
Phone (320) 587-6308

Other practice location 5

4681 Shoreline Dr
Spring Park, MN 55384-9715
Phone (952) 472-3937

Other practice location 6

209 Chalupsky Ave SE
New Prague, MN 56071-6840
Phone (952) 758-7337

Other practice location 7

741 Enterprise Dr E
Belle Plaine, MN 56011-2339
Phone (952) 495-6070

Other practice location 8

304 West US-212
Norwood Young America, MN 55368
Phone (952) 467-2250

Other practice location 9

12983 Ridgedale Dr
Minnetonka, MN 55305-1806
Phone (952) 479-6320

Other practice location 10

13550 Wayzata Blvd
Minnetonka, MN 55305-1850
Phone (952) 479-6320

Other practice location 11

1201 Greeley Ave N
Glencoe, MN 55336-2135
Phone (320) 864-2020

Other practice location 12

223 1st St E Ste 101
Jordan, MN 55352-1563
Phone (952) 492-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000237 MN Part B Supplier - Clinic/Group Practice 9032010251 Receives reassigned benefits from 13 practitioners
Practice locations: Jordan, MN; Watertown, MN; Spring Park, MN; Norwood Young America, MN; New Prague, MN; Minnetonka, MN; Hutchinson, MN; Glencoe, MN…

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Regional Eye Specialists LL3 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.

Locations

1201 Greeley Ave N
Glencoe, MN 55336
Phone (320) 864-2020

218 Main St S
Ste 105
Hutchinson, MN 55350
Phone (320) 587-2593

1455 Montreal St SE
#699
Hutchinson, MN 55350

218 Main St S
Hutchinson, MN 55350
Phone (320) 753-0000

12501 Whitewater Dr
Ste 320
Minnetonka, MN 55343
Phone (651) 209-8807

209 Chalupsky Ave SE
New Prague, MN 56071
Phone (952) 758-7337

4681 Shoreline Dr
Spring Park, MN 55384
Phone (952) 472-3937

4661 Shoreline Dr
Spring Park, MN 55384
Phone (307) 337-7321

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1962597096",
    "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": "320-587-6308",
            "fax_number": "320-587-2974"
        },
        {
            "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": [
        {
            "address_1": "1201 Greeley Ave N",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "MN",
            "postal_code": "553362135",
            "country_code": "US",
            "telephone_number": "320-864-2020",
            "fax_number": "320-864-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Lewis Ave S",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MN",
            "postal_code": "553884500",
            "country_code": "US",
            "telephone_number": "952-955-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Main St S",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553502571",
            "country_code": "US",
            "telephone_number": "320-753-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 Montreal St SE",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553500699",
            "country_code": "US",
            "telephone_number": "320-587-6308",
            "fax_number": "320-587-2974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4681 Shoreline Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Park",
            "state": "MN",
            "postal_code": "553849715",
            "country_code": "US",
            "telephone_number": "952-472-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Chalupsky Ave SE",
            "address_purpose": "LOCATION",
            "city": "New Prague",
            "state": "MN",
            "postal_code": "560716840",
            "country_code": "US",
            "telephone_number": "952-758-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 Enterprise Dr E",
            "address_purpose": "LOCATION",
            "city": "Belle Plaine",
            "state": "MN",
            "postal_code": "560112339",
            "country_code": "US",
            "telephone_number": "952-495-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 West US-212",
            "address_purpose": "LOCATION",
            "city": "Norwood Young America",
            "state": "MN",
            "postal_code": "55368",
            "country_code": "US",
            "telephone_number": "952-467-2250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12983 Ridgedale Dr",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051806",
            "country_code": "US",
            "telephone_number": "952-479-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13550 Wayzata Blvd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051850",
            "country_code": "US",
            "telephone_number": "952-479-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Greeley Ave N",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "MN",
            "postal_code": "553362135",
            "country_code": "US",
            "telephone_number": "320-864-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 1st St E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jordan",
            "state": "MN",
            "postal_code": "553521563",
            "country_code": "US",
            "telephone_number": "952-492-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL EYE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.