Organization
STEVE GIRISGEN O.D., P.C
Active
Parent organization
KOPOLOW & GIRISGEN OD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOPOLOW & GIRISGEN OD PC
Authorized official
STEVE T GIRISGEN O.D (PRESIDENT)
(702) 733-6764
Entity
Organization
Contact information
Practice address
3614 S MARYLAND PKWY, LAS VEGAS, NV 89109-3033
(702) 733-6764
(702) 255-5795
Mailing address
7361 W LAKE MEAD BLVD, STE104, LAS VEGAS, NV 89128-1040
(702) 733-6764
(702) 255-5795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
323
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508409
—
NV
Enumeration date
05/31/2006
Last updated
09/16/2009
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