Active NPI
Lilian So, OD
- Optometrist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1069
- Practice address
- 7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040 - Phone
- (702) 323-5404
- NPI assigned
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1069 | NV | Primary |
Addresses
Primary practice location
7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
Mailing address
7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7090 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-3288
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1069 | NV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Girisgen & Kopolow OD, PC | Optometrist | Current | Accepting new patients |
| Girisgen & Kopolow OD, PC | Optometrist | Current | Accepting new patients |
| Girisgen & Kopolow OD, PC | Optometrist | Current | Accepting new patients |
| Kopolow & Girisgen Professional Corporation | Optometrist | Current | Accepting new patients |
| South Lyon Health Center, Inc. | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| University Medical Center of Southern Nevada | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients | |
| Kopolow & Girisgen Professional Corporation | Optometrist | Past | Accepting new patients |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients |
Locations
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
9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
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
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
Organizations & group practices 14
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.
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- Las Vegas, NV
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-
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-
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-
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- NPI 1447393152
-
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-
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-
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-
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-
- General Acute Care Hospital
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- NPI 1548250582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1972129260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7361 W LAKE MEAD BLVD STE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281040"
},
{
"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": "702-323-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "LILIAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.