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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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