Active NPI
Girisgen & Kopolow OD PC
Doing business as Pearle Vision
- Optometrist
- N Las Vegas, NV
National Provider Identifier
1881467629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GIRISGEN & KOPOLOW OD PC
- Doing business as
- Pearle Vision
- Practice address
- 1820 E Lake Mead Blvd Ste A1
N Las Vegas, NV 89030-0160 - Phone
- (702) 452-2020
- Fax
- (702) 437-5502
- NPI assigned
- Nov 2, 2023
- Last updated
- Nov 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve T Girisgen
- Title
- Owner/OD
- Phone
- (702) 275-5229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1820 E Lake Mead Blvd Ste A1
N Las Vegas, NV 89030-0160
Mailing address
4045 Spencer St Ste A59
Las Vegas, NV 89119-9311
Phone (702) 452-2020
Other names 1
- Pearle Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100419000796 | NV | Part B Supplier - Clinic/Group Practice | 6507993854 |
Receives reassigned benefits from 72 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: North Las Vegas, NV; Las Vegas, NV; Henderson, NV |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Girisgen Kopolow OD PC
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Las Vegas, NV
- NPI 1841523164
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Parker, CO
- NPI 1376313957
-
- Optometrist
- Las Vegas, NV
- NPI 1851668339
-
- Optometrist
- Las Vegas, NV
- NPI 1386791630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1881467629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 SPENCER ST STE A59",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891199311",
"telephone_number": "702-452-2020",
"fax_number": "702-437-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 E LAKE MEAD BLVD STE A1",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890300160",
"telephone_number": "702-452-2020",
"fax_number": "702-437-5502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIRISGEN & KOPOLOW OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "GIRISGEN",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/OD",
"authorized_official_telephone_number": "702-275-5229"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.