Organization
ERIN POLUKOSHKO, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POLUKOSHKO (PRESIDENT)
(775) 412-5558
Entity
Organization
Contact information
Practice address
6633 S VIRGINIA ST STE D, RENO, NV 89511-1162
(775) 624-3109
Mailing address
PO BOX 18822, RENO, NV 89511-0018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124700869
—
NV
Enumeration date
11/18/2020
Last updated
03/18/2025
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