Organization
H KENNETH KOPOLOW O.D & ASSOC P.C
Active
Parent organization
KOPOLOW & GIRISGEN OD, PC.
Other names
Dr. Kenneth Kopolow O.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOPOLOW & GIRISGEN OD, PC.
Authorized official
HARLAN KENNETH KOPOLOW O.D (PRESIDENT)
(702) 733-6764
Entity
Organization
Contact information
Practice address
4300 MEADOWS LN, STE 126, LAS VEGAS, NV 89107-3004
(702) 733-6764
(702) 614-6018
Mailing address
7361 W LAKE MEAD BLVD, STE 104, LAS VEGAS, NV 89128-1040
(702) 733-6764
(702) 255-5797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
274
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507862
—
NV
Enumeration date
05/31/2006
Last updated
09/16/2009
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