Organization
JACKSON OPHTHALMOLOGY GROUP LTD
Active
Organization
JACKSON OPHTHALMOLOGY GROUP LTD
Active
Other names
Prestige Laser & Cataract Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD L JACKSON M.D. (PRESIDENT)
(702) 472-9902
Entity
Organization
Contact information
Practice address
7190 SMOKE RANCH RD STE 110, LAS VEGAS, NV 89128-8398
(702) 825-2085
(702) 852-5743
Mailing address
8230 W SAHARA AVE, SUITE 111, LAS VEGAS, NV 89117-8959
(702) 472-9902
(702) 823-2135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13385
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609063775
NPI
—
Enumeration date
02/23/2012
Last updated
07/21/2022
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