NPIMap

Organization Active NPI

Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Reno, NV
National Provider Identifier
1629577366
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KOPOLOW & GIRISGEN PROFESSIONAL CORPORATION
Practice address
5465 Meadowood Mall Cir
Reno, NV 89502-6710
Phone
(702) 341-7254
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Steve T Girisgen
Title
Owner/Optometrist
Phone
(702) 275-5229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X NV Primary

Addresses

Primary practice location

5465 Meadowood Mall Cir
Reno, NV 89502-6710

Mailing address

4045 Spencer St Ste A59
Las Vegas, NV 89119-9311

Other identifiers 1

IdentifierTypeStateIssuer
1518904622MedicaidNV

Other names 1

  • Kopolow & Girisgen OD PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Koplow Girisgen Proff5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1629577366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE A59",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 MEADOWOOD MALL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026710",
            "telephone_number": "702-341-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPOLOW & GIRISGEN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "GIRISGEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "702-275-5229"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518904622",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kopolow & Girisgen OD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.