H. Kenneth Kopolow, OD & Assoc. Prof. Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

H. KENNETH KOPOLOW, OD & ASSOC. PROF. CORP.

Practice address

1300 W Sunset Rd
Suite #1617
Henderson, NV 89014-6620

Phone

(702) 341-7254

NPI assigned

Feb 8, 2007

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

Dr. Harlan Kenneth Kopolow, O.D.

Title

President

Phone

(702) 733-6764

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Koplow Girisgen Proff

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1447391024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD",
            "address_2": "STE. 104",
            "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": "1300 W SUNSET RD",
            "address_2": "SUITE #1617",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146620",
            "telephone_number": "702-341-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. KENNETH KOPOLOW, OD & ASSOC. PROF. CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOPOLOW & GIRISGEN OD, PC",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "KOPOLOW",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-733-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507865",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Henderson, NV
• Providers in Henderson, 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.