# JOHN D POLANSKY MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467524223
- **Authorized official:** KATIE J YOW (FRONT OFFICE LEAD)
- **Authorized official phone:** (541) 683-3744

## Contact information

- **Practice address:** 2460 WILLAMETTE STREET, EUGENE, OR 97405
- **Practice address phone:** (541) 683-3744
- **Practice address fax:** (541) 683-6672
- **Mailing address:** 2460 WILLAMETTE STREET, EUGENE, OR 97405
- **Mailing address phone:** (541) 683-3744
- **Mailing address fax:** (541) 683-6672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 03/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006379 | — | OR |
| 01 | — | 009139000 | REGENCE BLUE CROSS | OR |
| 01 | — | DG2806 | RAILROAD MEDICARE | OR |
| 01 | — | R0000BHFRC | MEDICARE | OR |