Individual provider Active NPI

Amy Apisa Hitzeman, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1770544801
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
522T Issued in HI
Practice address
4180 S Durango Dr
Las Vegas, NV 89147-8600
Phone
(702) 732-2020
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 522T HI Primary

Addresses

Primary practice location

4180 S Durango Dr
Las Vegas, NV 89147-8600

Mailing address

79 Laying Up CT
Las Vegas, NV 89148-5257
Phone (808) 778-7243

Other practice location 1

1 Jarrett White Rd
Laser Refractive Center, 2C
Tamc, HI 96859-5001
Phone (808) 433-3089

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
I20180409000807 NV Practitioner - Optometry 4385907161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
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)

2021 N Rainbow Blvd
Suite 100
Las Vegas, NV 89108-7098
Phone (702) 452-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
884NVMDMarriage & Family Therapist
522THIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Vision Recovery Center Inc Optometrist PastSince Apr 10, 2018 Accepting new patients
Henderson Hospital Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Harvey Ohriner OD LTD Optometrist PastSince Aug 10, 2015 Accepting new patients
North Vista Hospital LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

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

1381 W Sunset Rd
Ste 120
Henderson, NV 89014

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

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

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

6160 W Tropicana Ave
Ste E4
Las Vegas, NV 89103

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) 515-0200

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

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

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

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

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

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 and National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770544801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LAYING UP CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485257",
            "telephone_number": "808-778-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478600",
            "telephone_number": "702-732-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Laser Refractive Center, 2C",
            "address_purpose": "LOCATION",
            "city": "Tamc",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITZEMAN",
        "first_name": "AMY",
        "middle_name": "APISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "522T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.