REGIONAL EYE SPECIALISTS LLC – Ophthalmology Physician, NPI 1962597096

REGIONAL EYE SPECIALISTS LLC is a healthcare provider. based in Glencoe, Minnesota. specializing in Ophthalmology Physician. The NPI Number for REGIONAL EYE SPECIALISTS LLC is 1962597096

Main info

Organization
Name
REGIONAL EYE SPECIALISTS LLC
NPI
1962597096
Phone
(320) 864-2020
Address
1201 Greeley Ave N
Authorized Official
CLIFTON CHAD BAZHAW CHIEF REVENUE OFFICER
Enumeration Date
4 October 2006
Last Update Date
20 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for REGIONAL EYE SPECIALISTS LLC

  • 1201 Greeley Ave N

    Glencoe, MN 553362135

    Phone: (320) 864-2020

    Type: Location

  • 204 Lewis Ave S

    Watertown, MN 553884500

    Phone: (952) 955-3553

    Type: Location

  • 1455 Montreal St SE

    Hutchinson, MN 553500699

    Phone: (320) 587-6308

    Fax: (320) 587-2974

    Type: Location

  • 304 West US-212

    Norwood Young America, MN 55368

    Phone: (952) 467-2250

    Type: Location

  • 218 Main St S

    Hutchinson, MN 553502571

    Phone: (320) 753-0000

    Type: Location

  • 1200 Chaska Creek Way Ste 110

    Chaska, MN 553182749

    Phone: (952) 466-3937

    Fax: (952) 466-3936

    Type: Location

  • 741 Enterprise Dr E

    Belle Plaine, MN 560112339

    Phone: (952) 495-6070

    Type: Location

  • 12983 Ridgedale Dr

    Minnetonka, MN 553051806

    Phone: (952) 479-6320

    Type: Location

  • 4681 Shoreline Dr

    Spring Park, MN 553849715

    Phone: (952) 472-3937

    Type: Location

  • 209 Chalupsky Ave SE

    New Prague, MN 560716840

    Phone: (952) 758-7337

    Type: Location

  • 13550 Wayzata Blvd

    Minnetonka, MN 553051850

    Phone: (952) 479-6320

    Type: Location

  • 223 1st St E Ste 101

    Jordan, MN 553521563

    Phone: (952) 492-2350

    Type: Location

  • Regional Eye Center, 1455, Montreal Street, Menards, Hutchinson, McLeod County, Minnesota, 55350, United States

    P O BOX 699

    HUTCHINSON, MN 553500699

    Phone: (320) 587-6308

    Fax: (320) 587-2974

    Type: Mailing

  • 1200 CHASKA CREEK WAY STE 110

    CHASKA, MN 553182749

    Phone: (952) 466-3937

    Fax: (952) 466-3936

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040120000237OClinic/Group PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55336)

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Reviews

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Frequently asked questions

How do I look up REGIONAL EYE SPECIALISTS LLC by NPI?
Use NPI 1962597096 when you need to reference REGIONAL EYE SPECIALISTS LLC in forms, claims, or directories.
Is REGIONAL EYE SPECIALISTS LLC currently active in the NPI registry?
CMS-published data lists REGIONAL EYE SPECIALISTS LLC as an active registrant.
What does REGIONAL EYE SPECIALISTS LLC treat or focus on?
Patients typically see REGIONAL EYE SPECIALISTS LLC under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place REGIONAL EYE SPECIALISTS LLC?
The snapshot lists Glencoe, Minnesota for REGIONAL EYE SPECIALISTS LLC; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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