Polkan Vision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00617200 Issued in NJ

Legal business name

POLKAN VISION PC

Practice address

118 Pompton Ave
Verona, NJ 07044-2917

Phone

(973) 239-3555

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elina Shrayman, O.D.NPI 1720235385

Title

President

Phone

(973) 985-3854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Elina Shrayman, O.D.

  • Corneal and Contact Management Optometrist
  • Verona, NJ
  • NPI 1720235385
  Medicare reassignment Authorized official
• Jacob Shrayman, DDS

  • General Practice Dentistry
  • Verona, NJ
  • NPI 1821019894
  NPD (past)

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1114220720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GRANT AVE",
            "address_2": "UNIT 18",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421103",
            "telephone_number": "973-985-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-239-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLKAN VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "SHRAYMAN",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-985-3854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00617200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Firstcare LLC
• Anthony J. Piccolo, PA
• Pirelli Clinical and Forensic Psychology, LLC
• Gabriela P Plesek Andia, PA-C
• Polkan Dental, P.C.
• Pops Therapeutics,LLC
• Pops Therapy LLC
• Premier Healthcare Staffing LLC
• Judith A Prestifilippo, MD
• Primary Care for the Homebound PA

• Optometrist in Verona, NJ
• Providers in Verona, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.