Girisgen & Kopolow Od PC

NPI #1336610518 in Henderson, Nevada

Provider Information

NPI Number: 1336610518
Entity Type: Organization
Organization Name: Girisgen & Kopolow Od PC
Subpart: Yes (part of a larger organization)
Parent Organization: GIRISGEN & KOPOLOW OD PC
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 75 S VALLE VERDE PKWY
Address 2: STE 120
City: Henderson
State: Nevada
ZIP Code: 89012
Phone: (702) 452-2020

Authorized Official

Name: SEFIR (STEVE) GIRISGEN, OD
Title: OWNER
Phone: (702) 437-5521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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