MEDICARE: NICOLAS UZCATEGUI MD

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	25606	NV
2	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	25606	NV

General Provider Information

NPI Number	:	1801983473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAS UZCATEGUI MD

Provider Business Mailing Address
First Line	:	10170 W TROPICANA AVE STE 156
Second Line	:	PMB 212
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-2602
Country	:	US
Telephone Number	:	702-819-3937
Fax Number	:	702-819-3936

Provider Business Practice Location Address
First Line	:	8655 S EASTERN AVE STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2916
Country	:	US
Telephone Number	:	702-819-3937
Fax Number	:	702-819-3936

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	04/21/2026

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