Active NPI
John D Polansky MD PC
- Ophthalmology Physician
- Eugene, OR
National Provider Identifier
1467524223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009139000 | Other | OR | REGENCE BLUE CROSS |
| R0000BHFRC | Other | OR | MEDICARE |
| DG2806 | Other | OR | RAILROAD MEDICARE |
| 006379 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI 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.