Organization Active NPI

Pollack Ophthalmology Associates PLLC

  • Ophthalmology Physician
  • Williamsville, NY
National Provider Identifier
1013748680
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
POLLACK OPHTHALMOLOGY ASSOCIATES PLLC
Practice address
1630 Maple Rd
Williamsville, NY 14221-3660
Phone
(716) 689-7330
Fax
(716) 689-6881
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Pollack, MDNPI 1760468409
Title
Part Owner/Provider
Phone
(716) 689-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1630 Maple Rd
Williamsville, NY 14221-3660

Mailing address

1630 Maple Rd
Williamsville, NY 14221-3660
Phone (716) 689-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029003291 NY Part B Supplier - Clinic/Group Practice 8325571391 Receives reassigned benefits from 3 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

1630 Maple Rd
Ste 100
Williamsville, NY 14221
Phone (716) 689-7330

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1013748680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213660",
            "telephone_number": "716-689-7330",
            "fax_number": "716-689-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213660",
            "telephone_number": "716-689-7330",
            "fax_number": "716-689-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLACK OPHTHALMOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PART OWNER/PROVIDER",
        "authorized_official_telephone_number": "716-689-7330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.