Individual provider Active NPI

Sabrina Tobi Leong, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1194401851
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1168 Issued in NV
Practice address
230 N Nellis Blvd
Las Vegas, NV 89110-6002
Phone
(702) 452-2020
NPI assigned
Jun 26, 2023
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1168 NV Primary

Addresses

Primary practice location

230 N Nellis Blvd
Las Vegas, NV 89110-6002

Mailing address

400 Pawnee PL
Fremont, CA 94539-3305
Phone (714) 707-8089

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230831003473 NV Practitioner - Optometry 8527421965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Girisgen and Kopolow OD PCGroup PAC ID 6507993854, 31 clinicians

Practice addresses (Care Compare)

2021 N Rainbow Blvd
Suite 100
Las Vegas, NV 89108-7098
Phone (702) 452-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1168NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Past Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist Past Accepting new patients

Locations

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

1381 W Sunset Rd
Ste 120
Henderson, NV 89014

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 529-3145

2279 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 341-0118

230 N Nellis Blvd
Ste B
Las Vegas, NV 89110
Phone (702) 360-8070

3805 E Flamingo Rd
Ste 110
Las Vegas, NV 89121

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

6160 W Tropicana Ave
Ste E4
Las Vegas, NV 89103

7090 S Rainbow Blvd
#100
Las Vegas, NV 89118

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

8145 W Sahara Ave
Ste 510
Las Vegas, NV 89117
Phone (702) 360-0106

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

9770 S Maryland Pkwy
Ste 10
Las Vegas, NV 89183
Phone (702) 492-0719

1820 E Lake Mead Blvd
Ste A-1
North Las Vegas, NV 89030
Phone (702) 891-9729

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1194401851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PAWNEE PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393305",
            "telephone_number": "714-707-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106002",
            "telephone_number": "702-452-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "SABRINA",
        "middle_name": "TOBI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.