Jessica Bertemati, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1136 Issued in NV

Practice address

4300 Meadows LN Ste 126
Las Vegas, NV 89107-3013

Phone

(702) 452-2020

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

International American University at Puerto Rico - School of Optometry, 2022

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)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Girisgen & Kopolow OD, PC

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

  dba Kopolow & Girisgen OD PC

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

  dba Pearle Vision Nellis

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

  • Optometrist
  • Las Vegas, NV
  • NPI 1841523164
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• H Kenneth Kopolow O.D & Assoc P.C

  dba Dr. Kenneth Kopolow O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1336186444
  NPD (past)
• Kopolow & Girisgen Professional Corporation

  dba Drs. Kopolow & Girisgen, OD, PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1881735439
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1780315994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N TORREY PINES DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MEADOWS LN STE 126",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073013",
            "telephone_number": "702-452-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTEMATI",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF OPTOMETRY",
            "identifier": "1136",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Berseth
• Emily Jane Berson, M.A.
• Lance Hiroshi Berstler
• Zkmain Barnadette Bertaud, CADC-I
• Hannah Bertel
• Kyleesha Bertha
• Dean P Berthoty, M.D.
• Laurell Bertino, LPCC
• Darlene Bertling
• Mary Jane Bertram

• 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 Jun 20, 2022; 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.