NV EYE SURGERY MANAGEMENT SERVICES
NPI 1366992141
Ophthalmology in Henderson, NV

Active since October 05, 2016CLIA 29D2129540 · Waiver
2390 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052(702) 825-2085(702) 852-5743 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nv Eye Surgery Management Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NV EYE SURGERY MANAGEMENT SERVICES (NPI 1366992141) is a healthcare organization registered as an ophthalmology in Henderson, Nevada and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Amy Grim, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366992141
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameDEBRY JACKSON OPHTHALMOLOGY PLLC
Location Address2390 W HORIZON RIDGE PKWY, SUITE 100Henderson, NV 89052-5079
Mailing Address2850 W Horizon Ridge Pkwy Ste 300Henderson, NV 89052-4395 · (702) 202-4776 · Fax (702) 852-5743
Fax(702) 852-5743
Organization SubpartNo
Authorized OfficialAmy GrimAuthorized Official · (702) 202-4776
Enumeration DateOctober 5, 2016
Last NPPES UpdateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1366992141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2390 W HORIZON RIDGE PKWY, Henderson, NV 89052

Other Names 1

Doing Business AsNv Eye Surgery Management Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2129540

Nv Eye Surgery · Henderson, NV
Active · expires Apr 19, 2027
CLIA Number29D2129540
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorPeter W. Debry
Laboratory Phone(702) 825-2085
Laboratory LocationNv Eye Surgery2390 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2390 W HORIZON RIDGE PKWY, SUITE 130
HENDERSON, NV 89052
Pharmacy
2390 W HORIZON RIDGE PKWY, SUITE 120
HENDERSON, NV 89052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debry Jackson Ophthalmology PLLC's NPI number?

The NPI number for Debry Jackson Ophthalmology PLLC is 1366992141. It was assigned to this organization in the NPPES registry on October 5, 2016. The provider is doing business as Nv Eye Surgery Management Services.

Where is Debry Jackson Ophthalmology PLLC located?

Debry Jackson Ophthalmology PLLC is located at 2390 W Horizon Ridge Pkwy Suite 100, Henderson, NV 89052. The listed phone number is (702) 825-2085.

What is Debry Jackson Ophthalmology PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Debry Jackson Ophthalmology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2129540) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Debry Jackson Ophthalmology PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Debry Jackson Ophthalmology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debry Jackson Ophthalmology PLLC was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.