Individual provider Active NPI

Tanya Elaine Polec, OD, FCOVD

  • Vision Therapy Optometrist
  • Tucson, AZ
National Provider Identifier
1881850758
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
01250 Issued in AZ
Practice address
3900 N Sabino Canyon Rd Ste 1002
Tucson, AZ 85750-2130
Phone
(520) 299-4100
Fax
(520) 299-4101
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 01250 AZ Primary

Addresses

Primary practice location

3900 N Sabino Canyon Rd Ste 1002
Tucson, AZ 85750-2130

Mailing address

3900 N Sabino Canyon Rd Ste 1002
Tucson, AZ 85750-2130
Phone (520) 299-4100

Other names 1

  • Tanya Elaine Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 2, 2022 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01250AZMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision LLC CurrentSince Feb 24, 2022 Accepting new patients
Vision Now, LLC Vision Therapy PastSince Aug 10, 2008 Accepting new patients

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1881850758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N SABINO CANYON RD STE 1002",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502130",
            "telephone_number": "520-299-4100",
            "fax_number": "520-299-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N SABINO CANYON RD STE 1002",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502130",
            "telephone_number": "520-299-4100",
            "fax_number": "520-299-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEC",
        "first_name": "TANYA",
        "middle_name": "ELAINE",
        "credential": "OD, FCOVD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AZ",
            "license": "01250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "LEWIS",
            "middle_name": "ELAINE",
            "credential": "OD, FCOVD, FNORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.