Individual provider Active NPI

Peter J. Polack, M.D.

  • Cornea and External Diseases Specialist Physician
  • Ocala, FL
National Provider Identifier
1821080771
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
OPC4899 Issued in FL
Practice address
4414 SW College Rd Ste 1462
Ocala, FL 34474-4790
Phone
(352) 622-5183
Fax
(352) 629-5026
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X OPC4899 FL Primary

Addresses

Primary practice location

4414 SW College Rd Ste 1462
Ocala, FL 34474-4790

Mailing address

4414 SW College Rd Unit 1462
Ocala, FL 34474-2701
Phone (352) 622-5183

Other practice location 1

1950 Laurel Manor Dr Ste 250
The Villages, FL 32162-5602
Phone (352) 622-5183

Other practice location 2

4508 Warm Springs Ave
Wildwood, FL 34785-8363
Phone (352) 622-5183

Other identifiers 2

IdentifierTypeStateIssuer
10441OtherFLBC/BS PROVIDER NUMBER
063494800MedicaidFL

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address peter.polack.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address peter.polack.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address peter.polack.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address peter.polack.p1@direct.ocalaeye.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041013001118 FL Practitioner - Ophthalmology 6901866045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Eye PAGroup PAC ID 3375503402, 23 clinicians

Practice addresses (Care Compare)

4414 SW College Rd
Unit 1462
Ocala, FL 34474-2701
Phone (352) 622-5183

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
85.3
Promoting interoperability
100
Improvement activities
40
Cost
75.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OPC4899FLMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Eye PA CurrentSince Aug 5, 1996 Accepting new patients
Ocala Eye Optical, Inc. Past Accepting new patients
Ocala Eye Optical, Inc PastSince May 1, 2024 Accepting new patients

Locations

8520 SW Highway 200
Ocala, FL 34481

3330 SW 33rd Rd
Ocala, FL 34474
Phone (352) 873-9311

1500 SE Magnolia Ext
Ste 106
Ocala, FL 34471
Phone (352) 629-7404

4414 SW College Rd
Unit 1462
Ocala, FL 34474
Phone (352) 694-8972

1500 SE Magnolia Ext
Ste 101
Ocala, FL 34471
Phone (352) 694-8987

1950 Laurel Manor Dr
Ste 250
The Villages, FL 32162

4508 Warm Springs Ave
Wildwood, FL 34785

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peter.polack.p2@direct.ocalaeye.nextgenshare.com

Organizations & group practices 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1821080771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 SW COLLEGE RD UNIT 1462",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742701",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 SW COLLEGE RD STE 1462",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744790",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Laurel Manor Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625602",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-1348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4508 Warm Springs Ave",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858363",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLACK",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "FL",
            "license": "OPC4899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "10441",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063494800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.polack.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "1500 SE Magnolia Ext",
            "address_2": "Suite 106",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.polack.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "8520 SW Highway 200",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344817730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.polack.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "1950 Laurel Manor Dr Ste 250",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321625602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.polack.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "4414 SW College Rd Ste 1462",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344744790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.