Individual provider Active NPI

Stephen B Pollack, MD

  • Ophthalmology Physician
  • Williamsville, NY
National Provider Identifier
1760468409
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1542811 Issued in NY
Practice address
1630 Maple Rd
Williamsville, NY 14221-3706
Phone
(716) 689-7330
Fax
(716) 689-6881
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1542811 NY Primary

Addresses

Primary practice location

1630 Maple Rd
Williamsville, NY 14221-3706

Mailing address

1630 Maple Rd
Williamsville, NY 14221-3706
Phone (716) 689-7330

Other identifiers 1

IdentifierTypeStateIssuer
00949459MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000262 NY Practitioner - Ophthalmology 6800858044 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pollack Ophthalmology Associates PLLCGroup PAC ID 8325571391, 3 clinicians

Practice addresses (Care Compare)

1630 Maple Rd
Suite 100
Williamsville, NY 14221-3660
Phone (716) 689-7330

Merit-based Incentive Payment System (MIPS)

Final score
23.35 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1542811NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pollack Ophthalmology Associates PLLC Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Stephen B. Pollack MD Ophthalmology PastSince Jan 1, 1990 Accepting new patients

Locations

1630 Maple Rd
Ste 100
Williamsville, NY 14221
Phone (716) 689-7330

1630 Maple Rd
Williamsville, NY 14221
Phone (716) 689-1622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1760468409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213706",
            "telephone_number": "716-689-7330",
            "fax_number": "716-689-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213706",
            "telephone_number": "716-689-7330",
            "fax_number": "716-689-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1542811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.