Organization
RETINA CONSULTANTS OF NEVADA LLP
Active
Organization
RETINA CONSULTANTS OF NEVADA LLP
Active
Parent organization
RETINA CONSULTANTS OF NEVADA LLP
Other names
NEVADA EYE PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RETINA CONSULTANTS OF NEVADA LLP
Authorized official
SHELI MARIE CRABTREE (SENIOR CREDENTIALING MANAGER)
(512) 314-1613
Entity
Organization
Contact information
Practice address
1505 WIGWAM PKWY STE 100, HENDERSON, NV 89074-8195
(702) 896-6043
(702) 896-9591
Mailing address
1505 WIGWAM PKWY STE 100, HENDERSON, NV 89074-8195
(702) 896-6043
(702) 896-9591
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912574898
—
NV
Enumeration date
06/08/2021
Last updated
01/03/2024
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