Organization
SHEPHERD EYE CENTER, LTD
Active
Parent organization
SHEPHERD EYE CENTER, LTD
Other names
NV Eye Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEPHERD EYE CENTER, LTD
Authorized official
AMY GRIM (REGIONAL CREDENTIALING MANAGER)
(702) 202-4776
Entity
Organization
Contact information
Practice address
2390 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5084
(702) 825-2085
(702) 852-5743
Mailing address
2390 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5084
(702) 825-2085
(702) 825-5743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
01/03/2024
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