MEDICARE: DR. PAUL CASEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	10003	NV

General Provider Information

NPI Number	:	1538180302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL CASEY M.D.

Provider Business Mailing Address
First Line	:	2090 E FLAMINGO RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5116
Country	:	US
Telephone Number	:	702-733-9271
Fax Number	:	702-733-1556

Provider Business Practice Location Address
First Line	:	2090 E FLAMINGO RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5116
Country	:	US
Telephone Number	:	702-733-9271
Fax Number	:	702-733-1556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	06/04/2012

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Directions to “ DR. PAUL CASEY M.D.” Practice Location

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