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Organization

GIRISGEN & KOPOLOW OD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEFIR T GIRISGEN OD (OWNER/OPTOMETRIST)
(702) 733-6764
Entity
Organization

Contact information

Practice address
8145 W SAHARA AVE STE 510, LAS VEGAS, NV 89117-1995
(702) 733-6764
(702) 255-5795
Mailing address
7361 W LAKE MEAD BLVD STE 104, 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
100507863
NV
Enumeration date
09/24/2009
Last updated
09/27/2011
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