Dr. Jason Craig Wickens
Ophthalmologist
653 N Town Center Dr Ste 518
Las Vegas
, Nevada 89144-0519
Dr. Jason Craig Wickens
Ophthalmologist
653 N Town Center Dr Ste 518
Las Vegas
, Nevada 89144-0519
(702) 243-8383
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Jason Craig Wickens
- 50 S Stephanie St Ste 101
- Henderson, NV
- Zip : 89012-5731
- Fax : (702) 243-8383
- Phone : (702) 202-4776
Second Address
- Dr. Jason Craig Wickens
- 653 N Town Center Dr Ste 518
- Las Vegas, NV
- Zip : 89144-0519
- Fax : (702) 243-8383
- Phone : (702) 369-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 11776 | NV |
National Provider Identifier
| NPI | 1003860313 |
|---|---|
| Provider Name | Dr. Jason Craig Wickens |
| First Address | Henderson, NV 89012-5731 |
| Second Address | Las Vegas, NV 89144-0519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 11/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003860313 | (05) | NV |
| H82555 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.