NPIMap

Organization Active NPI

Girisgen & Kopolow OD, PC

Doing business as Pearle Vision Nellis

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1457716391
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GIRISGEN & KOPOLOW OD, PC
Doing business as
Pearle Vision Nellis
Practice address
2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108-7137
Phone
(702) 733-6764
Fax
(702) 255-5795
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GIRISGEN & KOPOLOW OD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Sefir Girisgen
Title
Owner
Phone
(702) 733-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NV Primary

Addresses

Primary practice location

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108-7137

Mailing address

230 N Nellis Blvd
Ste B
Las Vegas, NV 89110-6002
Phone (702) 452-2020

Other names 1

  • Pearle Vision Nellis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150427002508 NV DME Supplier - Physician - OptometristDME Supplier - Optician 6507993854 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Girisgen Kopolow OD PC13 organizations share this tax ID, including this one
Part of
Girisgen Kopolow OD PC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

230 N Nellis Blvd
Ste B
Las Vegas, NV 89110
Phone (702) 360-8070

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

8025 S Rainbow Blvd
#104
Las Vegas, NV 89139

8145 W Sahara Ave
Ste 510
Las Vegas, NV 89117
Phone (702) 360-0106

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

1820 E Lake Mead Blvd
Ste A-1
North Las Vegas, NV 89030
Phone (702) 891-9729

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1457716391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N NELLIS BLVD",
            "address_2": "STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106002",
            "telephone_number": "702-452-2020",
            "fax_number": "702-255-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N RAINBOW BLVD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891087137",
            "telephone_number": "702-733-6764",
            "fax_number": "702-255-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRISGEN & KOPOLOW OD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIRISGEN & KOPOLOW OD, PC",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "GIRISGEN",
        "authorized_official_first_name": "SEFIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-733-6764",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Nellis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.