Active NPI
Aimee Lynn Noll, O.D.
- Optometrist
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15055
- Practice address
- 2645 Saint Rose Pkwy Ste C-110
Henderson, NV 89052-4886 - Phone
- (702) 665-4960
- Fax
- (702) 665-6338
- NPI assigned
- Jul 15, 2014
- Last updated
- Jul 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 850 | NV | |
| Corneal and Contact Management Optometrist | 152WC0802X | 15055 | CA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 850 | NV | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 15055 | CA | |
| Pediatric Optometrist | 152WP0200X | 15055 | CA | |
| Pediatric Optometrist | 152WP0200X | 850 | NV | |
| Occupational Vision Optometrist | 152WX0102X | 15055 | CA | |
| Occupational Vision Optometrist | 152WX0102X | 850 | NV | |
| Vision Therapy Optometrist | 152WV0400X | 15055 | CA | |
| Optometrist | 152W00000X | 15055 | CA | Primary |
Addresses
Primary practice location
2645 Saint Rose Pkwy Ste C-110
Henderson, NV 89052-4886
Mailing address
2645 Saint Rose Pkwy Ste C-110
Henderson, NV 89052-4886
Phone (702) 665-4960
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11201 S Eastern Ave
Suite 110
Henderson, NV 89052-6200
Phone (702) 744-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850 | NV | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Girisgen & Kopolow OD, PC | Optometrist | Current | Accepting new patients |
| Kopolow & Girisgen Professional Corporation | Optometrist | Current | Accepting new patients |
| Nolloptometryllc | Single Specialty | Current | Accepting new patients |
| Jimmy K. Lee, M.D. Inc. | Single Specialty | Past | Accepting new patients |
Locations
11201 S Eastern Ave
Ste 110
Henderson, NV 89052
Phone (702) 744-3937
2645 Saint Rose Pkwy
Ste C110
Henderson, NV 89052
Phone (702) 840-2020
4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521
7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254
Organizations & group practices 4
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.
-
- Optometrist
- Las Vegas, NV
- NPI 1427382415
-
dba Kopolow & Girisgen OD PC
- Optometrist
- Las Vegas, NV
- NPI 1518904622
-
dba California Vision Institute
- Cornea and External Diseases Specialist Physician
- Irvine, CA
- NPI 1750143681
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1295142834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 SAINT ROSE PKWY STE C-110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524886",
"telephone_number": "702-665-4960",
"fax_number": "702-665-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 SAINT ROSE PKWY STE C-110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524886",
"telephone_number": "702-665-4960",
"fax_number": "702-665-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLL",
"first_name": "AIMEE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NV",
"license": "850",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "15055",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NV",
"license": "850",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "15055",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "15055",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NV",
"license": "850",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "15055",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NV",
"license": "850",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "15055",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.