Organization
RETINA CONSULTANTS OF NEVADA LLP
Active
Parent organization
RETINA CONSULTANTS OF NEVADA LLP
Other names
SIERRA NEVADA EYE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RETINA CONSULTANTS OF NEVADA LLP
Authorized official
SHELI CRABTREE (SENIOR CREDENTIALING MANAGER)
(512) 314-1613
Entity
Organization
Contact information
Practice address
3475 GS RICHARDS BLVD STE 130, CARSON CITY, NV 89703-8462
(775) 841-2000
(775) 841-4200
Mailing address
3475 GS RICHARDS BLVD, CARSON CITY, NV 89703-8462
(775) 841-2000
(778) 584-1420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215504196
—
NV
Enumeration date
06/08/2021
Last updated
10/09/2023
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