Individual provider Active NPI

Neesha Sirintr, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1316377518
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
788 Issued in NV
Practice address
6085 S Fort Apache Rd Ste 120-130
Las Vegas, NV 89148-5545
Phone
(702) 476-8765
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 788 NV Primary

Addresses

Primary practice location

6085 S Fort Apache Rd Ste 120-130
Las Vegas, NV 89148-5545

Mailing address

6085 S Fort Apache Rd Ste 120-130
Las Vegas, NV 89148-5545
Phone (702) 476-8765

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
I20140429000578 NV Practitioner - Optometry 2466685409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4045 Spencer St
Suite a 59
Las Vegas, NV 89119-5245

7361 W Lake Mead Blvd
Las Vegas, NV 89128-1040

PO Box
Suite 2984
Ceres, CA 95307-9031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 14, 2014 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Jan 14, 2014 Accepting new patients
Sirintr/Suk PLLC Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 14, 2014 Accepting new patients

Locations

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

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

6085 S Fort Apache Rd
Ste 120130
Las Vegas, NV 89148
Phone (702) 476-8765

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1316377518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6085 S FORT APACHE RD STE 120-130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485545",
            "telephone_number": "702-476-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 S FORT APACHE RD STE 120-130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485545",
            "telephone_number": "702-476-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRINTR",
        "first_name": "NEESHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.