Steve Girisgen O.D., P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

323 Issued in NV

Legal business name

STEVE GIRISGEN O.D., P.C

Practice address

3614 S Maryland Pkwy
Las Vegas, NV 89109-3033

Phone

(702) 733-6764

Fax

(702) 255-5795

NPI assigned

May 31, 2006

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

KOPOLOW & GIRISGEN OD PCAs reported in NPPES

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

Authorized official

Name

Steve T Girisgen, O.DNPI 1295788859

Title

President

Phone

(702) 733-6764

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Koplow Girisgen Proff

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steve T Girisgen, O.D

  • Optometrist
  • Las Vegas, NV
  • NPI 1295788859
  Authorized official Same address or phone

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1427095538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD",
            "address_2": "STE104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-733-6764",
            "fax_number": "702-255-5795"
        },
        {
            "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": "702-733-6764",
            "fax_number": "702-255-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE GIRISGEN O.D., P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOPOLOW & GIRISGEN  OD PC",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "GIRISGEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-733-6764",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508409",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine K Sterner, CCC-SLP
• Luke Sternhagen
• Amber Lynn Stetka
• Mark Stets, MFT
• Zachary Stetzner
• Steve Lazar DMD, P.C. Dba Advanced Dentistry
• Steve Q. Ngo, D.D.S., Prof. Corp. (Image Dental)
• Steven a Holper MD PC
• Steven C. Garhardt, D.D.S., LTD.
• Steven D Lampinen

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.