DR. PETER J. POLACK (NPI# 1821080771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821080771 |
Entity Type | Individual |
Full Name | DR. PETER J. POLACK |
Credential | M.D. |
Practice Address |
4414 Sw College Rd Ste 1462 Ocala FL 34474-4790 |
Mailing Address |
1500 Se Magnolia Ext Ste 101 Ocala FL 34471-4452 |
Practice Telephone | 3526225183 |
Practice Fax Number | 3526295026 |
Mailing Telephone | 3526225183 |
Mailing Fax Number | 3526221348 |
Enumeration Date | 2005-08-17 |
Last Update Date | 2019-02-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
OPC4899 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BC/BS PROVIDER NUMBER | 10441 | 01 |
FL | 063494800 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1500 Se Magnolia Ext, Suite 106, Ocala, FL 34471 | 3526225183 | 3526221348 |
1950 Laurel Manor Dr Ste 250, The Villages, FL 321625602 | 3526225183 | 3526221348 |
8520 Sw Highway 200, Ocala, FL 344817730 | 3526225183 | 3526221348 |
Street Address |
4414 SW COLLEGE RD STE 1462 |
City | OCALA |
State | FL |
Zip Code | 34474-4790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588656433 | Ocala Eye Pa | Optometrist | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2005-08-17 |
1124565270 | Ocala Eye Optical, Inc | Eyewear Supplier (Equipment, not the service) | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2017-01-27 |
1962836098 | Sarah J Kim | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2013-08-26 |
1003169210 | Kathryn Mar Jip Pomakis | Optometrist | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2012-10-25 |
1164718839 | Vishwanath Srinagesh | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2011-06-21 |
1598086043 | Hussain Elhalis | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2010-06-18 |
1730101973 | Mohammed Kamal El Mallah | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2006-07-24 |
1124009378 | Hina N Ahmed | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2005-11-07 |
1518959386 | Chander N. Samy | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2005-08-18 |
1366434144 | John S. Deaton | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2005-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
Find all providers in zip 34474 |
Taxonomy Code | 207WX0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Cornea and External Diseases Specialist |
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689168353 | Lasik Partners, LLC | Ophthalmology | 1911 N Mills Ave Ste 100, Orlando, FL 32803-1407 | 2018-06-18 |
1518576941 | Zudans Medical Billing LLC | Ophthalmology | 1960 25th Ave, Vero Beach, FL 32960-6629 | 2020-07-31 |
1528685328 | Daliya Dzhaber | Ophthalmology | 7101 Fairway Dr, Palm Beach Gardens, FL 33418-3701 | 2020-06-29 |
1710507942 | Venice Ophthalmology Specialists Pa | Ophthalmology | 4140 Woodmere Park Blvd Ste 3, Venice, FL 34293-2205 | 2020-04-17 |
1972620268 | Saul Ullman M.d. P.a. | Ophthalmology | 5528 N Davis Hwy, Pensacola, FL 32503-2078 | 2007-03-23 |
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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.