Shepherd Eye Center, Ltd

NPI #1881321388 in Henderson, Nevada

Provider Information

NPI Number: 1881321388
Entity Type: Organization
Organization Name: Shepherd Eye Center, Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: SHEPHERD EYE CENTER, LTD
Primary Specialty: Ophthalmology
Enumeration Date: Aug 4, 2022
Last Updated: Jan 3, 2024

Practice Location

Address: 2390 W HORIZON RIDGE PKWY STE 100
City: Henderson
State: Nevada
ZIP Code: 89052-5084
Phone: (702) 825-2085

Authorized Official

Name: AMY GRIM
Title: REGIONAL CREDENTIALING MANAGER
Phone: (702) 202-4776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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