Individual
HARLAN KENNETH KOPOLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8145 W SAHARA AVE, SUITE 510, LAS VEGAS, NV 89117-1994
(702) 733-6764
(702) 255-5795
Mailing address
7361 W LAKE MEAD BLVD, SUITE 104, LAS VEGAS, NV 89128-1040
(702) 733-6764
(702) 255-5795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
274
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002502050
—
NV
Enumeration date
05/23/2006
Last updated
05/06/2020
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