Individual provider Active NPI

Marcha Marie Polection, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1356354583
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000848 Issued in PA
Practice address
521 West Olney Avenue
Philadelphia, PA 19120
Phone
(215) 224-2347
Fax
(215) 224-2309
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000848 PA Primary

Addresses

Primary practice location

521 West Olney Avenue
Philadelphia, PA 19120

Mailing address

1124 Wilson Avenue
Roslyn, PA 19001
Phone (215) 224-2347

Other identifiers 1

IdentifierTypeStateIssuer
101339466 0001MedicaidPA

Other names 1

  • Marcha Marie Polection-Smith Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040610000069 PA Practitioner - Optometry 0749263820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare for the Family Inc. Optometrist CurrentSince Jul 18, 2021 Accepting new patients

Locations

521 W Olney Ave
Fl First
Philadelphia, PA 19120
Phone (215) 224-2347

521 W Olney Ave
Philadelphia, PA 19120
Phone (215) 224-2347

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1356354583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 WILSON AVENUE",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-224-2347",
            "fax_number": "215-224-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WEST OLNEY AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-224-2347",
            "fax_number": "215-224-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLECTION",
        "first_name": "MARCHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101339466 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCHA",
            "last_name": "POLECTION-SMITH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.