Kopolow, Harlan Kenneth

Kopolow, Harlan Kenneth is an sole proprietor health care provider with primary practice located at 8145 W Sahara Ave Suite 510, Las Vegas NV 89117-1994. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kopolow, Harlan Kenneth can be contacted via phone (702) 733-6764.

Contact Information

Primary practice address
8145 W Sahara Ave Suite 510 Las Vegas NV 89117-1994
Fax: (702) 255-5795
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 274 Nevada

Profile Details

NPI number 1013962604
LBN Legal business name Kopolow, Harlan Kenneth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated May 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013962604 NPPES
Nevada MEDICAID 002502050

Popular Providers