Organization
SHEPHERD EYE CENTER, LTD
Active
Organization
SHEPHERD EYE CENTER, LTD
Active
Parent organization
SHEPHERD EYE CENTER, LTD
Other names
New Eyes
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEPHERD EYE CENTER, LTD
Authorized official
SHELI MARIE CRABTREE (SR. CREDENTIALING MANAGER)
(512) 314-1613
Entity
Organization
Contact information
Practice address
2020 WELLNESS WAY STE 402, LAS VEGAS, NV 89106-4145
(702) 485-5000
(702) 485-5005
Mailing address
2020 WELLNESS WAY STE 402, LAS VEGAS, NV 89106-4145
(702) 485-5000
(702) 485-5001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902478449
—
NV
Enumeration date
07/14/2021
Last updated
10/01/2024
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