Individual provider Active NPI

Rebecca Louise Polanski, O.D.

  • Optometrist
  • Cheektowaga, NY
National Provider Identifier
1962834440
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008103 Issued in NY
Practice address
3035 Genesee St
Cheektowaga, NY 14225-2661
Phone
(716) 896-3351
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008103 NY Primary

Addresses

Primary practice location

3035 Genesee St
Cheektowaga, NY 14225-2661

Mailing address

3035 Genesee St
Cheektowaga, NY 14225-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20141007000834 NY Practitioner - Optometry 1557581923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Sher Optical Co of Buffalo Ny Inc.Group PAC ID 3476831777, 11 clinicians

Practice addresses (Care Compare)

3035 Genesee St
Suite 5
Buffalo, NY 14225-2661
Phone (716) 896-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008103NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Nov 13, 2021 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Current Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Nov 13, 2021 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Past Accepting new patients

Locations

280 Delaware Ave
Buffalo, NY 14202
Phone (716) 854-1620

3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351

50 S Main St
Ste 138
Fairport, NY 14450
Phone (585) 223-8480

1234 Abbott Rd
Lackawanna, NY 14218
Phone (716) 272-1140

6624 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-8235

2815 Monroe Ave
Rochester, NY 14618
Phone (585) 443-8696

3180 Latta Rd
Ste 300
Rochester, NY 14612
Phone (585) 663-6655

642 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 695-3733

950 Ridge Rd
Webster, NY 14580
Phone (585) 671-6630

2305 Union Rd
West Seneca, NY 14224
Phone (716) 656-1321

Interoperability endpoints

  • Direct secure messaging: rebecca.pietrasik@uprisedirect.com

Organizations & group practices 4

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1962834440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252661",
            "telephone_number": "716-896-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKI",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.