Individual provider Active NPI

Christopher Jonathan Tom, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1962054494
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1023 Issued in NV
Practice address
7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
Phone
(702) 877-6779
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1023 NV Primary

Addresses

Primary practice location

7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040

Mailing address

379 Pompano Cir
Foster City, CA 94404-1903
Phone (650) 281-5841

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
I20191029001098 NV Practitioner - Optometry 9335471150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pritchett Eye Care PCGroup PAC ID 1052390655, 29 clinicians

Practice addresses (Care Compare)

2461 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5944
Phone (702) 646-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1023NVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Nov 9, 2024 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Nov 9, 2024 Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients

Locations

2461 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 636-2020

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2461 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 636-2020

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

4485 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 737-0097

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937

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

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

Organizations & group practices 9

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1962054494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 POMPANO CIR",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041903",
            "telephone_number": "650-281-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-877-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "CHRISTOPHER",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.