MEDICARE: BRIMHALL EYE CONSULTANTS, LLC

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	11701	NV

General Provider Information

NPI Number	:	1215007018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIMHALL EYE CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	3821 ROBIN KNOT CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2613
Country	:	US
Telephone Number	:	702-658-8826
Fax Number	:

Provider Business Practice Location Address
First Line	:	3821 ROBIN KNOT CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2613
Country	:	US
Telephone Number	:	702-658-8826
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BRETT D. BRIMHALL
Credential	:	M.D.
Telephone Number	:	702-677-6490

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	08/22/2020

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