James Polkabla, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

649 Issued in AZ

Practice address

9524 W Camelback Rd
Glendale, AZ 85305-3104

Phone

(623) 872-8822

Fax

(623) 772-8216

NPI assigned

Oct 10, 2005

Last updated

May 7, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cigna Health Care of Arizona Inc.

  dba CMG Sun City Healthcare Center, Sun City

  • Clinic/Center
  • Sun City, AZ
  • NPI 1952472672
  NPD (past)
• Cigna Healthcare of Arizona, Inc.

  dba EVERNORTH Care Group

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1467440818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-961-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 W CAMELBACK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053104",
            "telephone_number": "623-872-8822",
            "fax_number": "623-772-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKABLA",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W. Poliak III, DOCTORATE
• Lauren Kimberly Poling, D.O.
• Howard Harold Polk, DDS
• Jenee Polk
• Layla Polk
• Justyn William Pollock, OD
• Harvey James Poloni, M.ED. , LPC
• Andre Polus
• Laura Pomeroy, RD
• Irma Ponce Gutierrez, FNP-C

• Optometrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.