Individual provider Active NPI

Jason S Wang, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1316560246
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1059 Issued in NV
Practice address
2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098
Phone
(702) 452-2020
NPI assigned
May 27, 2020
Last updated
May 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 1059 NV Primary

Addresses

Primary practice location

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

Mailing address

8760 W Patrick LN Unit 1140
Las Vegas, NV 89148-5303
Phone (714) 683-4118

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
I20200710003019 NV Practitioner - Optometry 4981027703 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
7 Hills Vision Center LLCGroup PAC ID 0547561821, 2 clinicians
Northwest Vision Center LLCGroup PAC ID 1951619857, 3 clinicians
Summerlin Vision Center IncGroup PAC ID 0244227908, 2 clinicians

Practice addresses (Care Compare)

10608 S Eastern Ave
Suite Handi
Henderson, NV 89052-2978
Phone (702) 617-2750

4343 N Rancho Dr
Suite 116
Las Vegas, NV 89130-3421
Phone (702) 656-6144

6455 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-3215
Phone (702) 802-4390

7664 W Lake Mead Blvd
Suite 107
Las Vegas, NV 89128-6645
Phone (702) 254-6222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1059NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summerlin Vision Center Inc Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Vision Center IV LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 1, 2020 Accepting new patients
7 Hills Vision Center LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Northwest Vision Center LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

10608 S Eastern Ave
Ste Hi
Henderson, NV 89052
Phone (702) 617-2750

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

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

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

4343 N Rancho Dr
Ste 116
Las Vegas, NV 89130
Phone (702) 656-6144

6455 S Rainbow Blvd
#100
Las Vegas, NV 89118
Phone (702) 802-4390

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

7664 W Lake Mead Blvd
Ste 107
Las Vegas, NV 89128
Phone (702) 254-6222

5465 Meadowood Mall Cir
Reno, NV 89502
Phone (775) 826-4100

Organizations & group practices 8

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1316560246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 W PATRICK LN UNIT 1140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485303",
            "telephone_number": "714-683-4118"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.