James M Poloncak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3761 Issued in FL

Practice address

8001 S Orange Blossom TRL
Suite 552
Orlando, FL 32809-7654

Phone

(407) 854-6969

Fax

(407) 859-0699

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083771133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 CALIBRE BEND LN",
            "address_2": "APT. 1109",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928670",
            "telephone_number": "407-657-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 552",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097654",
            "telephone_number": "407-854-6969",
            "fax_number": "407-859-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONCAK",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3761",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Polley Jr.
• Robert W Pollock, MD
• Sandra L Pollock, PH.D.
• Jose Gregorio Polo-Cueto, M.D ACN
• Jocelyn Polo
• Christopher Polonio, MD
• Gabriel Poltronieri
• Marina Polur, M.D.
• Polycarpe, Inc.
• Yamiley Claude Polycarpe, APRN

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.