Debry Jackson Ophthalmology PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DEBRY JACKSON OPHTHALMOLOGY PLLC

Practice address

2390 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5084

Phone

(702) 825-2085

NPI assigned

Feb 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Scott Leckie

Title

Manager

Phone

(702) 825-2085

Specialties & licenses 1

Addresses

Other names 1

• DeBry Jackson Ophthalmology PLLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1609377423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525084",
            "telephone_number": "702-825-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRY JACKSON OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "LECKIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-825-2085"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeBry Jackson Ophthalmology PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jerusha Debattista, M.S.
• Michelle Debellis, CRNA
• Debiparshad Professional Services PLLC
• Lee Ann Nicole Deboe, PT, DPT
• Debry Jackson Ophthalmology PLLC (NV Eye Surgery Management Services)
• Peter W Debry, M.D
• Anthony Brian Decker Jr., DMD
• Deepali Kashyap MD PLLC
• Dee Allen Deevers, DDS
• Mahendra Defonseka, M.D.

• Optometrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.