NPIMap

Organization Active NPI

Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1174664734
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KOPOLOW & GIRISGEN PROFESSIONAL CORPORATION
Practice address
9975 S Eastern Ave
Ste 100
Las Vegas, NV 89183-7950
Phone
(702) 341-7254
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Dr. Steve Girisgen, O.D.
Title
President
Phone
(702) 341-7254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9975 S Eastern Ave
Ste 100
Las Vegas, NV 89183-7950

Mailing address

9975 S Eastern Ave
Ste 100
Las Vegas, NV 89183-7950
Phone (702) 341-7254

Other identifiers 1

IdentifierTypeStateIssuer
100507990MedicaidNV

Other names 1

  • Drs. Kopolow & Girisgen, O.D., P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Koplow Girisgen Proff5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1174664734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837950",
            "telephone_number": "702-341-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837950",
            "telephone_number": "702-341-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPOLOW & GIRISGEN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "GIRISGEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-341-7254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507990",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Kopolow & Girisgen, O.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs. Kopolow & Girisgen, O.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.