George R McMickle M D P C

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

NV9367 Issued in NV

Legal business name

GEORGE R MCMICKLE M D P C

Doing business as

Southwestern Eye Associates

Practice address

653 N Town Center Dr
Suite 318
Las Vegas, NV 89144-0514

Phone

(702) 215-6950

Fax

(702) 215-3377

NPI assigned

Oct 18, 2013

Last updated

Oct 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George R McMickle, M DNPI 1912935065

Title

President

Phone

(702) 215-6950

Specialties & licenses 1

Addresses

Other names 1

• SOUTHWESTERN EYE ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Las Vegas Surgicare LTD

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1467415513

  Member Of

  NPD member
• Sahara Outpatient Surgery Center LTD

  dba Sahara Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1023071180

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George McMickle, MD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1912935065
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1972931426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-215-6950",
            "fax_number": "702-215-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-215-6950",
            "fax_number": "702-215-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R MCMICKLE M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "MCMICKLE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-215-6950",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NV",
            "license": "NV9367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWESTERN EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George a Tanksley Jr DMD a Professinal Corporation (Alliance Dental)
• George a. Davis, Jr. DDS LTD (The Dentist of Summerlin)
• George Fusion Imaging & Cancer Theranostics PLLC
• George G Westerman, MD, Cpe, Facpe
• George Med - Peds Associates PC (Southern Nevada Internal Medicine Pediatrics)
• Akeem Anthony George, M.D.
• Carolyn George
• Chenese Cindy George
• Christine M George, M.D.
• Constantine George, MD

• Ophthalmologic Surgery Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ophthalmologic Surgery Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.