| NPI | 1609377423 |
|---|---|
| Former Legal Business Name | DEBRY JACKSON OPHTHALMOLOGY PLLC |
| Entity Type | Organization |
| Authorized Contact | SCOTT SCOTT LECKIE Manager 702-825-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2023-03-29 |