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JOHN D POLANSKY MD PC NPI 1730231838


NPI Information

NPI: 1730231838
Provider Name: JOHN D POLANSKY MD PC

Doing Business As: THE SPECTACLE SHOP

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2460 WILLAMETTE ST
EUGENE, OR
ZIP 97405
Phone: (541) 683-3746
Get Directions

JOHN D POLANSKY MD PC is an eyewear supplier in Eugene, OR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JOHN D POLANSKY MD PC NPI is 1730231838. The provider is registered as an organization entity type.
The provider Is Doing Business As The Spectacle Shop.

The provider's business location address is:

2460 WILLAMETTE ST
EUGENE, OR
ZIP 97405-169
Phone: (541) 683-3746
Fax: (541) 683-3747

The provider's authorized official is Sue Stoneburner .
The authorized official title is Optician and has the following contact phone number (541) 683-3746.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 3/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier051837-85OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10720730001MEDICARE ID-TYPE UNSPECIFIEDOREGON
20720730001MEDICARE NSCOREGON
30720730001OTHEROREGONDMERC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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