Ann Poloncak

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601001615 Issued in VA

Legal business name

ANN POLONCAK

Doing business as

Myeyedr

Practice address

1100 S Hayes St
Arlington, VA 22202-4907

Phone

(703) 888-2999

Fax

(703) 888-2996

NPI assigned

Feb 20, 2007

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Healey

Title

President

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Myeyedr Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1396880159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S HAYES ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024907",
            "telephone_number": "703-888-2999",
            "fax_number": "703-888-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN POLONCAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-847-8899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "08434027",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myeyedr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Stephen Andochick, DDS
• Alexis Andre
• Morgan Roberts Andrews, PH.D
• Mary Jane T. Anel, CRNA
• Lindsay Michele Anmuth, PSY.D.
• Christopher C Annunziata, MD
• Haideh M Ansari, DPT, PT, CLT
• Georgina Antakly, LICSW
• William Anthony
• Apex Dental Care

• Optometrist in Arlington, VA
• Providers in Arlington, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.