Justin Vuong Lucido, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1161 Issued in NV

Practice address

6160 W Tropicana Ave Ste E4
Las Vegas, NV 89103-4696

Phone

(702) 452-2020

Fax

(702) 906-2564

NPI assigned

May 31, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2023

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1427382415
  Medicare reassignment Care Compare group NPD
• Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1518904622
  Medicare reassignment NPD
• Girisgen & Kopolow OD PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1063089084
  NPD
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1457716391
  NPD
• Girisgen & Kopolow OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1841523164
  NPD (past)
• Kopolow & Girisgen Professional Corporation

  • Optometrist
  • Las Vegas, NV
  • NPI 1881735439
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1700579125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 W TROPICANA AVE STE E4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034696",
            "telephone_number": "702-452-2020",
            "fax_number": "702-906-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 W TROPICANA AVE STE E4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034696",
            "telephone_number": "702-452-2020",
            "fax_number": "702-906-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIDO",
        "first_name": "JUSTIN",
        "middle_name": "VUONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lucht
• Johanna Lucia, RN
• Amy Luciano
• Ivilson Luciano
• Kristen Luciano, RN
• Lucidsolutions, Inc.
• Cleonne Lucien-Ferdinand, RN
• Sa'de C Lucin-Martin
• Dianne Lucio
• Mary Lucious

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.