Individual provider Active NPI

Kelli McLaughlin, O.D

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1538106315
Registry record updated Aug 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
453 Issued in NV
Practice address
7361 W. Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone
(702) 341-7254
Fax
(702) 804-6162
NPI assigned
Jun 1, 2006
Last updated
Aug 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 453 NV Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100509197MedicaidNV

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
I20060621000056 NV Practitioner - Optometry 0446262133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Girisgen and Kopolow OD PCGroup PAC ID 6507993854, 31 clinicians

Practice addresses (Care Compare)

75 Valle Verde Pkwy
Suite 120
Henderson, NV 89012
Phone (702) 452-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 21, 2010 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 1, 2006 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 21, 2010 Accepting new patients
Henderson Hospital Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
H Kenneth Kopolow O.D & Assoc P.C Optometrist Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients

Locations

1000 N Green Valley Pkwy
Ste 420
Henderson, NV 89074
Phone (725) 502-2802

1300 W Sunset Rd
Ste 1617
Henderson, NV 89014
Phone (702) 341-7254

1381 W Sunset Rd
Ste 120
Henderson, NV 89014

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 529-3145

2279 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 341-0118

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

3200 Las Vegas Blvd S
Ste 1620
Las Vegas, NV 89109
Phone (702) 341-7254

3614 S Maryland Pkwy
Las Vegas, NV 89169
Phone (702) 737-5243

3805 E Flamingo Rd
Ste 110
Las Vegas, NV 89121

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

6160 W Tropicana Ave
Ste E4
Las Vegas, NV 89103

7090 S Rainbow Blvd
#100
Las Vegas, NV 89118

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

8025 S Rainbow Blvd
Ste 104
Las Vegas, NV 89139
Phone (702) 418-3118

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

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

9770 S Maryland Pkwy
Ste 10
Las Vegas, NV 89183
Phone (702) 492-0719

9975 S Eastern Ave
Ste 100
Las Vegas, NV 89183
Phone (702) 270-4636

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249084800000",
    "number": "1538106315",
    "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": "89128",
            "telephone_number": "702-341-7254",
            "fax_number": "702-804-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 W. LAKE MEAD BLVD",
            "address_2": "STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-341-7254",
            "fax_number": "702-804-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "KELLI",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509197",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.