Nataly Gammoh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

716 Issued in NV

Practice address

556 N Eastern Ave
Suite a
Las Vegas, NV 89101-3477

Phone

(702) 388-9400

Fax

(702) 385-1116

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

No

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, TX2 enrollments

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 2

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gammoh Premier Vision LLCGroup PAC ID 4880849843, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Gammoh Premier Vision LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1528304458
  Medicare reassignment Care Compare group Authorized official
• The Eye Doctor at St. Rose LLC

  • Optician
  • Henderson, NV
  • NPI 1558996546
  NPD Authorized official
• Eye Doc Group LLC

  • Optician
  • Las Vegas, NV
  • NPI 1750042396
  NPD
• Centennial Hills Hospital Medical Center

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

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

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Girisgen & Kopolow OD PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1063034379
  NPD (past)
• Girisgen & Kopolow OD PC

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

  • Optometrist
  • Las Veegas, NV
  • NPI 1184173015
  NPD (past)
• Girisgen & Kopolow OD PC

  • Optometrist
  • Henderson, NV
  • NPI 1215559521
  NPD (past)
• Girisgen & Kopolow OD PC

  • Optometrist
  • Henderson, NV
  • NPI 1336610518
  NPD (past)
• Girisgen & Kopolow OD PC

  • Optometrist
  • Las Vegas, NV
  • NPI 1346862653
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1851668339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013453",
            "telephone_number": "702-840-2020",
            "fax_number": "702-385-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013477",
            "telephone_number": "702-388-9400",
            "fax_number": "702-385-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 W Craig Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890325117",
            "country_code": "US",
            "telephone_number": "702-840-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891456238",
            "country_code": "US",
            "telephone_number": "702-840-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 Saint Rose Pkwy # C-110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524886",
            "country_code": "US",
            "telephone_number": "702-840-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMMOH",
        "first_name": "NATALY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851668339",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Gamez, CSFA
• Rosabel Gamez
• Solangel Gamez
• Tatyana Gammage
• Gammoh Premier Vision LLC
• Shane Gregory Gammon
• Suhattai Gamnerdsiri, M.D.
• Randy Gamo
• Ryan Gamo
• Leonardo Aldecoa Gan-Lim, M.D.

• 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 Sep 17, 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.