Individual provider Active NPI

Tascha Danielle Wells, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1710117197
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
648 Issued in NV
Practice address
8145 W Sahara Ave Ste 510
Las Vegas, NV 89117-1995
Phone
(702) 360-0106
Fax
(702) 360-1123
NPI assigned
Jul 21, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 648 NV Primary

Addresses

Primary practice location

8145 W Sahara Ave Ste 510
Las Vegas, NV 89117-1995

Mailing address

8145 W Sahara Ave Ste 510
Las Vegas, NV 89117-1995
Phone (702) 360-0106

Other practice location 1

230 N Nellis Blvd Ste B
Las Vegas, NV 89110-6003
Phone (702) 452-2020

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
I20100429000930 NV Practitioner - Optometry 9537296165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Dignity Health Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Henderson Hospital Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Harvey Ohriner OD LTD Optometrist PastSince Aug 10, 2015 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

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

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

1381 W Sunset Rd
Ste 120
Henderson, NV 89014

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

7090 S Rainbow Blvd
#100
Las Vegas, NV 89118

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

3805 E Flamingo Rd
Ste 110
Las Vegas, NV 89121

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

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

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

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

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

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

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

6160 W Tropicana Ave
Ste E4
Las Vegas, NV 89103

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 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710117197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 W SAHARA AVE STE 510",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171995",
            "telephone_number": "702-360-0106",
            "fax_number": "702-360-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 W SAHARA AVE STE 510",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171995",
            "telephone_number": "702-360-0106",
            "fax_number": "702-360-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Nellis Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891106003",
            "country_code": "US",
            "telephone_number": "702-452-2020",
            "fax_number": "702-438-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TASCHA",
        "middle_name": "DANIELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.