Harlan Kenneth Kopolow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

274 Issued in NV

Practice address

8145 W Sahara Ave
Suite 510
Las Vegas, NV 89117-1994

Phone

(702) 733-6764

Fax

(702) 255-5795

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1427382415
  Medicare reassignment NPD
• Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1518904622
  Medicare reassignment NPD
• H Kenneth Kopolow O.D & Assoc P.C

  • Optometrist
  • Las Vegas, NV
  • NPI 1336186444
  NPD (past) Authorized official
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1457716391
  NPD
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1841523164
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1013962604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-733-6764",
            "fax_number": "702-255-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 W SAHARA AVE",
            "address_2": "SUITE 510",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171994",
            "telephone_number": "702-733-6764",
            "fax_number": "702-255-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPOLOW",
        "first_name": "HARLAN",
        "middle_name": "KENNETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502050",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Smith Kopich, BCBA
• Michele Koplow
• Kopolow & Girisgen Professional Corporation
• Kopolow & Girisgen Professional Corporation
• Kopolow & Girisgen Professional Corporation
• Kara Kopolow, O.D.
• Ata Berk Koray
• Robert P Korcal, D.O.
• Kord T. Strebel, MD LLC
• Kord Thomas Strebel

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.