Individual provider Active NPI

Lynn Polonski, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1871674507
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26417 Issued in AZ
Practice address
3925 E Fort Lowell Rd Ste 100
Tucson, AZ 85712-1053
Phone
(520) 576-5110
Fax
(520) 529-7165
NPI assigned
Oct 18, 2006
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 26417 AZ Primary

Addresses

Primary practice location

3925 E Fort Lowell Rd Ste 100
Tucson, AZ 85712-1053

Mailing address

3925 E Fort Lowell Rd Ste 100
Tucson, AZ 85712-1053
Phone (520) 576-5110

Other identifiers 1

IdentifierTypeStateIssuer
526973MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20081201000619 AZ Practitioner - Ophthalmology 7012078629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalina Eye Care PCGroup PAC ID 2860553849, 5 clinicians

Practice addresses (Care Compare)

3925 E Fort Lowell Rd
Suite 100
Tucson, AZ 85712-1053
Phone (520) 576-5110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery143
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. CurrentSince Sep 29, 2021 Accepting new patients
Catalina Eye Care PC CurrentSince Oct 20, 2008 Accepting new patients
Nationwide Vision Center, LLC Current Accepting new patients
Catalina Eye Care PC Ophthalmology CurrentSince Oct 20, 2008 Accepting new patients
Nationwide Optometry P.C. CurrentSince Sep 29, 2021 Accepting new patients
Vista Eye Care, PLC Ophthalmology Past Accepting new patients
Ambulatory Surgery Center of Tucson, Inc. Past Accepting new patients

Locations

10735 E Apache Trl
Apache Junction, AZ 85120
Phone (480) 354-7976

10735 E Apache Trl
Ste 107
Apache Junction, AZ 85120
Phone (480) 354-7976

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286

5551 S White Mountain Rd
Unit 3
Show Low, AZ 85901
Phone (928) 537-5110

2443 N Campbell Ave
Tucson, AZ 85719
Phone (520) 877-7858

3925 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 576-5110

3925 E Fort Lowell Rd
Ste 100
Tucson, AZ 85712
Phone (520) 576-5110

4021 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 575-5110

Interoperability endpoints

  • Direct secure messaging: lpolonski@catalinaeye.emadirect.md

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1871674507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 E FORT LOWELL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121053",
            "telephone_number": "520-576-5110",
            "fax_number": "520-529-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 E FORT LOWELL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121053",
            "telephone_number": "520-576-5110",
            "fax_number": "520-529-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONSKI",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "26417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526973",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.