Gary David Polan, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

CA8007TPL Issued in CA

Practice address

970 Monument St
Ste 102
Pacific Palisades, CA 90272-3860

Phone

(310) 459-0055

Fax

(310) 459-4070

NPI assigned

Dec 4, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

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

• Elizabeth Yeh, OD

  • Vision Therapy Optometrist
  • Pacific Palisades, CA
  • NPI 1184288862
  Medicare reassignment

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.

• Dr. Gary D. Polan, OD

  • Optometrist
  • Pacific Palisades, CA
  • NPI 1841812716

  Vision Therapy

  NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1942368972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "STE 102",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723860",
            "telephone_number": "310-459-0055",
            "fax_number": "310-459-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST",
            "address_2": "STE 102",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723860",
            "telephone_number": "310-459-0055",
            "fax_number": "310-459-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAN",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "CA8007TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmaca Integrative Pharmacy, Inc.
• W. Kane Phelps
• Amanda Plath, MSW, LCSW, PMH-C
• Clarice Poirier
• Randall Pokomo, M.D.
• Vicki Eileen Pollock, VICKI POLLOCK, PH.D.
• Renee S. Portenier, OTR
• David Vincent Powers, P.T.
• Thomas Harrison Price, RPH
• Gena Sloane Pruetz, P.T.

• Vision Therapy Optometrist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.