DR. JAMES M POLONCAK (NPI# 1083771133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083771133 |
| Entity Type | Individual |
| Full Name | DR. JAMES M POLONCAK |
| Credential | O.D. |
| Practice Address |
8001 S Orange Blossom Trl Suite 552 Orlando FL 32809-7654 |
| Mailing Address |
3850 Calibre Bend Ln Apt. 1109 Winter Park FL 32792-8670 |
| Practice Telephone | 4078546969 |
| Practice Fax Number | 4078590699 |
| Mailing Telephone | 4076571001 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 3761 | FL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA# | MPO946333 | 01 |
| Street Address |
8001 S ORANGE BLOSSOM TRL SUITE 552 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-7654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962445874 | Karen M Butler | Hearing Instrument Specialist | 8001 S Orange Blossom Trl, Fl Mall Suite 692, Orlando, FL 32809-7654 | 2006-06-14 |
| 1134619240 | Nationwide Vision Center, Inc. | Technician/Technologist | 8001 S Orange Blossom Trl, Inside Jcpenney, Orlando, FL 32809-7654 | 2018-05-14 |
| 1760933733 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8001 S Orange Blossom Trl, Orlando, FL 32809-7654 | 2016-10-14 |
| 1740424746 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8001 S Orange Blossom Trl, #1312, Orlando, FL 32809-7654 | 2009-04-22 |
| 1790707834 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 8001 S Orange Blossom Trl, Orlando, FL 32809-7654 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893746 | Mi Optometra Inc | Optometrist | 5142 Hook Hollow Cir, Orlando, FL 32837-4913 | 2020-02-15 |
| 1558905588 | Ryan Nicholas Od LLC | Optometrist | 4200 Conroy Rd # B166, Orlando, FL 32839-2400 | 2019-11-02 |
| 1992355036 | National Vision Inc | Optometrist | 6776 Eagle Watch Dr, Orlando, FL 32822-2355 | 2019-09-19 |
| 1891277760 | Salazar Eyecare LLC | Optometrist | 2883 Delaney Ave, Orlando, FL 32806-5412 | 2018-09-06 |
| 1861972366 | Investment Strategy Group, Inc | Optometrist | 3016 E Colonial Dr, Orlando, FL 32803-5006 | 2018-08-15 |
| 1457853632 | William Roberts Optometry, Pllc | Optometrist | 4192 Conroy Rd Ste 111, Orlando, FL 32839-6417 | 2018-03-05 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1760918510 | Muhammad Saad Sami | Optometrist | 14731 Crosston Bay Ct, Orlando, FL 32824-4291 | 2017-05-11 |
| 1568908192 | Tam Duong | Optometrist | 6108 Sparling Hills Cir, Orlando, FL 32808-1438 | 2017-01-06 |
| 1326595208 | Jeanine Hayen Od LLC | Optometrist | 720 Rugby St, Suite 100, Orlando, FL 32804-4900 | 2016-09-08 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.