Individual provider Active NPI

Girma G Yemane, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1548857675
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1089 Issued in NV
Practice address
3614 S Maryland Pkwy # 115
Las Vegas, NV 89169-3033
Phone
(702) 341-7254
Fax
(702) 255-5795
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1089 NV Primary

Addresses

Primary practice location

3614 S Maryland Pkwy # 115
Las Vegas, NV 89169-3033

Mailing address

4955 Lindell Rd Apt 115
Las Vegas, NV 89118-1371
Phone (702) 290-8168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210202000387 NV Practitioner - Optometry 3971917071 Reassigns benefits to 5 organizations
I20251117003326 NV Practitioner - Optometry 3971917071 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Chan OD PLLCGroup PAC ID 1052736345, 4 clinicians

Practice addresses (Care Compare)

695 S Green Valley Pkwy
Henderson, NV 89052-0404
Phone (702) 941-7898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girma Yemane LLC Optometrist CurrentSince Feb 19, 2023 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Jan 1, 2021 Accepting new patients
David I Malitz MD., PC CurrentSince Sep 15, 2021 Accepting new patients
John Chan O.D. PLLC Optometrist CurrentSince Jun 9, 2021 Accepting new patients
Vision Consultants Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Vision Consultants Optometrist CurrentSince Jan 1, 2023 Accepting new patients

Locations

1001 Walnut St
Evansville, IN 47713
Phone (812) 421-2020

695 S Green Valley Pkwy
Henderson, NV 89052
Phone (702) 216-7101

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

3614 S Maryland Pkwy
#115
Las Vegas, NV 89169
Phone (702) 341-7254

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

4675 W Flamingo Rd
Ste 1
Las Vegas, NV 89103
Phone (702) 362-3900

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

8750 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 870-4109

8981 W Sahara Ave
Ste 270
Las Vegas, NV 89117
Phone (702) 362-3900

10580 N McCarran Blvd
Ste 115255
Reno, NV 89503

2045 Silverada Blvd
Reno, NV 89512
Phone (775) 359-3161

5465 Meadowood Mall Cir
Reno, NV 89502
Phone (775) 826-4100

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1548857675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 LINDELL RD APT 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181371",
            "telephone_number": "702-290-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 S MARYLAND PKWY # 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693033",
            "telephone_number": "702-341-7254",
            "fax_number": "702-255-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMANE",
        "first_name": "GIRMA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.