Organization Active NPI

John D Polansky MD PC

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1467524223
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JOHN D POLANSKY MD PC
Practice address
2460 Willamette Street
Eugene, OR 97405
Phone
(541) 683-3744
Fax
(541) 683-6672
NPI assigned
Nov 15, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Katie J Yow
Title
Front Office Lead
Phone
(541) 683-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2460 Willamette Street
Eugene, OR 97405

Mailing address

2460 Willamette Street
Eugene, OR 97405
Phone (541) 683-3744

Other identifiers 4

IdentifierTypeStateIssuer
009139000OtherORREGENCE BLUE CROSS
R0000BHFRCOtherORMEDICARE
DG2806OtherORRAILROAD MEDICARE
006379MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1467524223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-683-3744",
            "fax_number": "541-683-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-683-3744",
            "fax_number": "541-683-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D POLANSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "YOW",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FRONT OFFICE LEAD",
        "authorized_official_telephone_number": "541-683-3744"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "009139000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R0000BHFRC",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2806",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006379",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.