Healthcare Provider Details

I. General information

NPI: 1801983473
Provider Name (Legal Business Name): NICOLAS UZCATEGUI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8655 S EASTERN AVE STE 120
LAS VEGAS NV
89123-2916
US

IV. Provider business mailing address

10170 W TROPICANA AVE STE 156 PMB 212
LAS VEGAS NV
89147-2602
US

V. Phone/Fax

Practice location:
  • Phone: 702-819-3937
  • Fax: 702-819-3936
Mailing address:
  • Phone: 702-819-3937
  • Fax: 702-819-3936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25606
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number25606
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: