NPI 1366992141
Debry Jackson Ophthalmology PLLC
Practice location
- Address
- 2390 W Horizon Ridge Pkwy Suite 100, Henderson, NV 89052-5079
- Phone
- (702) 825-2085
- Fax
- (702) 852-5743
- Mailing address
- 2850 W Horizon Ridge Pkwy STE 300, Henderson, NV 89052-4395
Authorised official
- Name
- Amy Grim
- Title
- Authorized Official
- Phone
- (702) 202-4776
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1366992141
- Entity type
- Organization
- NPI issued
- 5 Oct 2016
- Record last updated
- 17 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.