Ilene Beth Polhemus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11037T Issued in CA

Practice address

15563 Union Ave
Los Gatos, CA 95032-3904

Phone

(408) 377-2020

Fax

(408) 377-2022

NPI assigned

Jan 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Los Gatos Eye Care a Professional Optometric CorporationGroup PAC ID 9739117615, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Los Gatos Eye Care a Professional Optometric Corporation

  • Optometrist
  • Los Gatos, CA
  • NPI 1043405681
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1114907391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15563 UNION AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323904",
            "telephone_number": "408-377-2020",
            "fax_number": "408-377-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15563 UNION AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323904",
            "telephone_number": "408-377-2020",
            "fax_number": "408-377-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHEMUS",
        "first_name": "ILENE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-22",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11037T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve K Platt, PH.D.
• Gary Hal Plep, LCSW
• Tomislav Plese, DC
• Ashley Podgorski, MS, PT, PES
• Nita Polacheril
• Pollard Wellness Inc
• Angela Pollard, M.D.
• Arthur Polussa, M.D.
• Iris Shi Poon, ASW
• Amber Por, PT, DPT

• Optometrist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.