OrganizationActive
Regional Eye Specialists LLC
NPI 1619703006 · Eyewear Supplier · Chaska, MN
Provider details
- NPI number
- 1619703006
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Clifton Bazhaw, Chief Revenue Officer(469) 270-6658
Specialties & taxonomies
Suppliers
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Chaska Creek Way Ste 110
Chaska, MN 55318-2749
Phone: (952) 466-3937
Fax: (952) 466-3936
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Chaska Creek Way Ste 110
Chaska, MN 55318-2749
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.