Active NPI
Marcha Marie Polection, O.D.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1356354583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101339466 0001 | Medicaid | PA |
Other names 1
- Marcha Marie Polection-Smith
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610000069 | PA | Practitioner - Optometry | 0749263820 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare for the Family Inc. | Optometrist | Current | 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.
-
- Optometrist
- Philadelphia, PA
- NPI 1366503757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.