| Harlan Kenneth Kopolow, OD | |
|
8145 W Sahara Ave, Suite 510, Las Vegas, NV 89117-1994 | |
| (702) 733-6764 | |
| (702) 255-5795 |
| Full Name | Harlan Kenneth Kopolow |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 8145 W Sahara Ave, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013962604 | NPI | - | NPPES |
| 002502050 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 274 (Nevada) | Primary |
| Provider Name | Kopolow & Girisgen Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518904622 PECOS PAC ID: 7618982596 Enrollment ID: O20060214000361 |
| Provider Name | Girisgen & Kopolow Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427382415 PECOS PAC ID: 6507993854 Enrollment ID: O20100419000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Harlan Kenneth Kopolow, OD 7361 W Lake Mead Blvd, Suite 104, Las Vegas, NV 89128-1040 Ph: (702) 733-6764 | Harlan Kenneth Kopolow, OD 8145 W Sahara Ave, Suite 510, Las Vegas, NV 89117-1994 Ph: (702) 733-6764 |
Tamara Gutierrez, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3870 E Flamingo Rd Ste A3, Las Vegas, NV 89121 Phone: 702-434-9919 Fax: 702-270-0926 | |
Dr. Joseph Peter Wadoski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3350 E Tropicana Ave, Las Vegas, NV 89121 Phone: 702-839-0200 Fax: 702-804-0201 | |
Dr. Keri Asraf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8230 W Sahara Ave Ste 121, Las Vegas, NV 89117 Phone: 702-944-2001 | |
Dr. Edward Joseph Malik, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 11035 Lavender Hill Dr Ste 180, Las Vegas, NV 89135 Phone: 702-254-0332 Fax: 702-685-4112 | |
Daniel Truong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6230 N Durango Dr, Las Vegas, NV 89149 Phone: 702-737-3937 Fax: 702-737-8860 | |
Dr. Elizabeth Dong-hee Suh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5060 S Fort Apache Rd Ste 150, Las Vegas, NV 89148 Phone: 702-586-5222 Fax: 702-586-5224 | |
Ellen Sy, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6408 Wild Blue Ct, Las Vegas, NV 89135 Phone: 510-219-3691 |