John D Polansky, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

09541 Issued in OR

Practice address

2460 Willamette St
Eugene, OR 97405-3169

Phone

(541) 683-3744

Fax

(541) 683-6672

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Ophthalmology

Education

Temple University School of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Center LLCGroup PAC ID 3779556774, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Eye Center LLC

  dba The Eye Center

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1770664484
  Medicare reassignment Care Compare group NPD
• The Eye Center LLC

  • Optometrist
  • Eugene, OR
  • NPI 1245579994

  Ophthalmology

  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1942208640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053169",
            "telephone_number": "541-683-3744",
            "fax_number": "541-683-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053169",
            "telephone_number": "541-683-3744",
            "fax_number": "541-683-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "09541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NO.",
            "identifier": "0000BHFRC",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "009139000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161042",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "180031534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PNW Dental LLC
• Pnwcounseling LLC
• Abagail Louise Poelstra, MSW
• Melea Lynn Poffenberger, LMT
• Staesha Alana Pogue-Dempsey
• Susan E Polchert, M.D.
• Alexandra Poling, LMT
• Michaela Greer Poling
• Bonnie C Pollack, MD
• Nick Pollington, DPT

• Ophthalmology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.