Provider Demographics
NPI:1629254081
Name:BRIMHALL EYE, PLLC
Entity Type:Organization
Organization Name:BRIMHALL EYE, PLLC
Other - Org Name:TYREE CARR MD LTD DBA BRIMHALL EYE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIMHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-263-2020
Mailing Address - Street 1:6850 N DURANGO DR STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4596
Mailing Address - Country:US
Mailing Address - Phone:702-263-2020
Mailing Address - Fax:702-396-0287
Practice Address - Street 1:6850 N DURANGO DR STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4596
Practice Address - Country:US
Practice Address - Phone:702-263-2020
Practice Address - Fax:702-396-0287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4341207W00000X
207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002528Medicaid
NV100515973Medicaid
NV180026680OtherMEDICARE RAILROAD
NVC95862Medicare UPIN
NVV32151Medicare PIN