Erin Polukoshko, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ERIN POLUKOSHKO, OD, PC

Practice address

6633 S Virginia St Ste D
Reno, NV 89511-1162

Phone

(775) 624-3109

NPI assigned

Nov 18, 2020

Last updated

Mar 18, 2025By 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

Erin PolukoshkoNPI 1497886279

Title

President

Phone

(775) 412-5558

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Polukoshko, OD

  • Optometrist
  • Reno, NV
  • NPI 1497886279
  Medicare reassignment NPD Authorized official
• Amber Louise Belaustegui, O.D.

  • Optometrist
  • Reno, NV
  • NPI 1689830598
  NPD (past)
• Manpreet Rehal, O.D.

  • Optometrist
  • Reno, NV
  • NPI 1295101244
  NPD (past)
• Daniel T Rowan, OD

  • Optometrist
  • Reno, NV
  • NPI 1639205818
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1629671011",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 S VIRGINIA ST STE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111162",
            "telephone_number": "775-624-3109"
        }
    ],
    "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": {
        "organization_name": "ERIN POLUKOSHKO, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "POLUKOSHKO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-412-5558"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124700869",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curt Erickson, PA-C
• Maurine Erickson
• Steven F Erickson, PA-C
• Olivia Eriksen
• Trevor Ovie Eriksen, B.A., D.C.
• Alexis Jane Erlach, APRN
• Christian Eric Erlenbush, LCSW
• Tatiana Ermi
• Krystine Ernst
• Yizhou Ernst, D.O.

• 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 Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.