Erin Polukoshko, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

463 Issued in NV

Practice address

5595 S Virginia St Ste B
Reno, NV 89502-6077

Phone

(775) 828-2300

Fax

(775) 829-9391

NPI assigned

Mar 7, 2007

Last updated

Apr 9, 2026By the provider in NPPES

Sex

Female

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Waterloo - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayberry Vision, LLCGroup PAC ID 7618325465, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Erin Polukoshko, OD, PC

  • Optometrist
  • Reno, NV
  • NPI 1629671011
  Medicare reassignment NPD Authorized official
• Mayberry Vision, LLC

  • Optometrist
  • Reno, NV
  • NPI 1124700869
  Medicare reassignment Care Compare group NPD
• Jeffrey D. Ferris, O.D., P.C.

  • Optometrist
  • Reno, NV
  • NPI 1003053059
  NPD (past)
• Nevada State Optical, Inc.

  dba Pearle Vision

  • Optician
  • Reno, NV
  • NPI 1598808511
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1497886279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18822",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895110018",
            "telephone_number": "775-828-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 S VIRGINIA ST STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026077",
            "telephone_number": "775-828-2300",
            "fax_number": "775-829-9391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Mayberry Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895092131",
            "country_code": "US",
            "telephone_number": "775-525-3377",
            "fax_number": "775-549-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLUKOSHKO",
        "first_name": "ERIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Pollard, APRN
• Meredith Caines Pollaro, OTR/L, IBCLC
• Karyssa Jane Polli
• Hilton Robert Pollock, M.D.
• Marissa Pollock, DPT
• Carlena Poma, LMSW, CSW-I
• Gary A Pomeranz, M.D.
• Julie A Pomi, RN
• Whitney Michelle Pomi, RN
• Ivett Zita Ponce Fernandez

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.