Individual provider Active NPI

Vincent D Gori, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1386791630
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
697 Issued in NV
Practice address
7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
Phone
(702) 804-0790
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL046008712 IL
Optometrist 152W00000X 697 NV Primary

Addresses

Primary practice location

7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040

Mailing address

1765 Gentle Brook St
North Las Vegas, NV 89084-2074
Phone (702) 639-1231

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
I20120706000060 NV Practitioner - Optometry 5890872303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chow and Tran Partnership, PLLCGroup PAC ID 5890970693, 2 clinicians

Practice addresses (Care Compare)

6935 Aliante Pkwy
Suite 102
North Las Vegas, NV 89084-5819
Phone (702) 685-4320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IL046008712ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chow & Tran Partnership, PLLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Girisgen & Kopolow OD PC Optometrist Past Accepting new patients
Looksmart Optical Il, LLC Optometrist PastSince Jul 6, 2010 Accepting new patients
Girisgen & Kopolow OD PC Optometrist PastSince Jan 21, 2010 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist PastSince Jan 21, 2010 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Past Accepting new patients
Dynamic Eye Care Optometrist PastSince Apr 1, 2016 Accepting new patients
Girisgen & Kopolow OD PC Optometrist Past Accepting new patients
Girisgen & Kopolow OD PC Optometrist PastSince Jan 21, 2010 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist PastSince Jan 21, 2010 Accepting new patients
Girisgen & Kopolow OD PC Optometrist Past Accepting new patients
Girisgen & Kopolow OD PC Optometrist Past Accepting new patients
Girisgen & Kopolow OD PC Optometrist PastSince Jan 21, 2010 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Girisgen & Kopolow OD PC Optometrist Past Accepting new patients

Locations

6935 Aliante Pkwy
Ste 102
North Las Vegas, NV 89084
Phone (702) 685-4320

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1386791630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GENTLE BROOK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842074",
            "telephone_number": "702-639-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-804-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORI",
        "first_name": "VINCENT",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL046008712",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.