Organization
DEBRY JACKSON OPHTHALMOLOGY PLLC
Active
Other names
NV Eye Surgery Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRIM (AUTHORIZED OFFICIAL)
(702) 202-4776
Entity
Organization
Contact information
Practice address
2390 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052-5079
(702) 825-2085
(702) 852-5743
Mailing address
2850 W HORIZON RIDGE PKWY STE 300, HENDERSON, NV 89052-4395
(702) 202-4776
(702) 852-5743
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/05/2016
Last updated
01/17/2022
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