Individual provider Active NPI

Tiffanny N Lai, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1194004788
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1110 Issued in NV
Practice address
2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098
Phone
(702) 452-2020
Fax
(702) 437-5502
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14236 CA
Optometrist 152W00000X 1110 NV Primary

Addresses

Primary practice location

2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098

Mailing address

10717 New Boro Ave
Las Vegas, NV 89144-4405
Phone (408) 472-7088

Other practice location 1

7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
Phone (702) 341-7254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20121108000456 CA Practitioner - Optometry 0143471706 Reassigns benefits to 1 organization
Practice locations: Patterson, CA
I20211026001270 NV Practitioner - Optometry 0143471706 Reassigns benefits to 2 organizations
I20250917004120 TX Practitioner - Optometry 0143471706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsync Vision CareGroup PAC ID 7618976515, 2 clinicians

Practice addresses (Care Compare)

23230 Red River Dr
Katy, TX 77494-2046
Phone (281) 221-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14236CAMDCounselor
1110NVMDFamily Medicine Physician
10687TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Fogg Remington Eyecare Inc Optometrist CurrentSince Aug 1, 2014 Accepting new patients
Healthsync Vision Care Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Fogg Remington Eyecare, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Fogg Remington Eyecare Inc Current Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010

3830 N 1st St
Fresno, CA 93726
Phone (559) 449-5010

1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

1000 N Green Valley Pkwy
Ste 420
Henderson, NV 89074
Phone (725) 502-2802

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

23230 Red River Dr
Katy, TX 77494
Phone (281) 221-0662

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1194004788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 NEW BORO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444405",
            "telephone_number": "408-472-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891087098",
            "telephone_number": "702-452-2020",
            "fax_number": "702-437-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7361 W Lake Mead Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281040",
            "country_code": "US",
            "telephone_number": "702-341-7254",
            "fax_number": "702-255-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "TIFFANNY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14236",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.