Individual provider Active NPI

Brian Bijan Nasser, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1922668102
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1054 Issued in NV
Practice address
230 N Nellis Blvd Ste B
Las Vegas, NV 89110-6003
Phone
(702) 735-2020
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34275TLG CA
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 1054 NV Primary

Addresses

Primary practice location

230 N Nellis Blvd Ste B
Las Vegas, NV 89110-6003

Mailing address

230 N Nellis Blvd Ste B
Las Vegas, NV 89110-6003
Phone (702) 735-2020

Other practice location 1

5163 Lone Tree Way
Antioch, CA 94531-8689
Phone (925) 757-5560

Other practice location 2

4051 Lone Tree Way Ste E
Antioch, CA 94531-6204
Phone (925) 757-7676

Other practice location 3

7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
Phone (702) 360-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20191107002370 CA Practitioner - Optometry 1355773615 Reassigns benefits to 1 organization
I20200915003665 NV Practitioner - Optometry 1355773615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2019
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

75 Valle Verde Pkwy
Suite 120
Henderson, NV 89012
Phone (702) 452-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34275TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Winson Ong OD Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Eileen M Linder Optometrist Inc Optometrist CurrentSince Sep 18, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Family Optometric Vision Care Optometrist PastSince Jul 25, 2019 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

4051 Lone Tree Way
Ste E
Antioch, CA 94531
Phone (925) 757-7676

5163 Lone Tree Way
Antioch, CA 94531
Phone (925) 757-5560

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

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

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

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

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

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

  • Direct secure messaging: brian.nasser@uprisedirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1922668102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N NELLIS BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106003",
            "telephone_number": "702-735-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N NELLIS BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891106003",
            "telephone_number": "702-735-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5163 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318689",
            "country_code": "US",
            "telephone_number": "925-757-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4051 Lone Tree Way Ste E",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945316204",
            "country_code": "US",
            "telephone_number": "925-757-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7361 W Lake Mead Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281040",
            "country_code": "US",
            "telephone_number": "702-360-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "BRIAN",
        "middle_name": "BIJAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34275TLG",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.