Individual provider Active NPI

Steve T Girisgen, O.D

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1295788859
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
323 Issued in NV
Practice address
3614 S Maryland Pkwy
Las Vegas, NV 89109-3033
Phone
(702) 737-5243
Fax
(702) 731-6120
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 323 NV Primary

Addresses

Primary practice location

3614 S Maryland Pkwy
Las Vegas, NV 89109-3033

Mailing address

3614 S Maryland Pkwy
Las Vegas, NV 89109-3033
Phone (702) 737-5243

Other identifiers 1

IdentifierTypeStateIssuer
100507863MedicaidNV

Other names 1

  • Sefir T Girisgen Other name

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
I20060222000302 NV Practitioner - Optometry 2264447895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
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)

75 Valle Verde Pkwy
Suite 120
Henderson, NV 89012
Phone (702) 452-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 28, 2010 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Jan 1, 2006 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 28, 2010 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients

Locations

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

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

1381 W Sunset Rd
Ste 120
Henderson, NV 89014

1300 W Sunset Rd
Ste 1617
Henderson, NV 89014
Phone (702) 341-7254

7090 S Rainbow Blvd
#100
Las Vegas, NV 89118

8025 S Rainbow Blvd
Ste 104
Las Vegas, NV 89139
Phone (702) 418-3118

3614 S Maryland Pkwy
Las Vegas, NV 89169
Phone (702) 737-5243

3805 E Flamingo Rd
Ste 110
Las Vegas, NV 89121

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

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

9975 S Eastern Ave
Ste 100
Las Vegas, NV 89183
Phone (702) 270-4636

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

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

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

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

6160 W Tropicana Ave
Ste E4
Las Vegas, NV 89103

3200 Las Vegas Blvd S
Ste 1620
Las Vegas, NV 89109
Phone (702) 341-7254

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

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 10

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1295788859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093033",
            "telephone_number": "702-737-5243",
            "fax_number": "702-731-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093033",
            "telephone_number": "702-737-5243",
            "fax_number": "702-731-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRISGEN",
        "first_name": "STEVE",
        "middle_name": "T",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507863",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEFIR",
            "last_name": "GIRISGEN",
            "middle_name": "T",
            "credential": "O.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.