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DEBRY JACKSON OPHTHALMOLOGY PLLC NPI 1366992141


NPI Information

NPI: 1366992141
Provider Name: DEBRY JACKSON OPHTHALMOLOGY PLLC

Doing Business As: NV EYE SURGERY MANAGEMENT SERVICES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 29D2129540

Address:
2390 W HORIZON RIDGE PKWY
SUITE 100
HENDERSON, NV
ZIP 89052
Phone: (702) 825-2085
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DEBRY JACKSON OPHTHALMOLOGY PLLC is an ophthalmology in Henderson, NV. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DEBRY JACKSON OPHTHALMOLOGY PLLC NPI is 1366992141. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nv Eye Surgery Management Services.

The provider's business location address is:

2390 W HORIZON RIDGE PKWY
SUITE 100
HENDERSON, NV
ZIP 89052-079
Phone: (702) 825-2085
Fax: (702) 852-5743

The provider's authorized official is Amy Grim .
The authorized official title is Authorized Official and has the following contact phone number (702) 202-4776.

The CLIA number assigned to this NPI record is 29D2129540 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 1/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.