Organization
GIRISGEN & KOPOLOW OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEFIR T GIRISGEN OD (OWNER)
(702) 733-6764
Entity
Organization
Contact information
Practice address
2021 N RAINBOW BLVD STE 100, LAS VEGAS, NV 89108-7098
(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
09/18/2009
Last updated
09/27/2011
Update your record
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