Steven M Polatis, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2940AT Issued in OR

Practice address

1623 Hospital Loop
Owyhee, NV 89832-0103

Phone

(775) 757-2415

Fax

(775) 757-2066

NPI assigned

Aug 9, 2012

Last updated

Aug 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Southern California College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoshone-Paiute TribesGroup PAC ID 5092871889, 9 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoshone-Paiute Tribes

  dba Owyhee Community Health Facility

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment Care Compare group NPD
• Ada County Eyecare, P.C.

  • Corneal and Contact Management Optometrist
  • Boise, ID
  • NPI 1619185485
  NPD (past) Authorized official
• Shoshone Paiute Tribes

  dba Owyhee Ambulance

  • Land Ambulance
  • Owyhee, NV
  • NPI 1104181791
  NPD

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1316294234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 E FELDSPAR CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128456",
            "telephone_number": "208-869-1965",
            "fax_number": "208-345-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 HOSPITAL LOOP",
            "city": "OWYHEE",
            "state": "NV",
            "postal_code": "898320103",
            "telephone_number": "775-757-2415",
            "fax_number": "775-757-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLATIS",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "0900",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "2940AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah J Moreau, FNP
• Nancy June Munger, RN
• Owyhee Community Health Care Facility
• Owyhee Community Health Facility
• Kenneth W Pete, EMT
• Kelly Kathleen Rhodes, M.D.
• Shayanne Rose, EMT
• Elizabeth Sam, REGISTERED NURSE
• Ethelyn Jane Shaw, EMT
• Shoshone Paiute Tribes (Owyhee Ambulance)

• Corneal and Contact Management Optometrist in Owyhee, NV
• Providers in Owyhee, NV by specialty
• Corneal and Contact Management Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.