Organization
DR. GARY D. POLAN, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY POLAN (OPTOMETRIST)
(310) 459-0055
Entity
Organization
Contact information
Practice address
970 MONUMENT ST STE 102, PACIFIC PALISADES, CA 90272-3860
(310) 459-0055
Mailing address
970 MONUMENT ST STE 102, PACIFIC PALISADES, CA 90272-3860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184288862
NPPES
—
01
—
1942368972
NPPES
—
Enumeration date
05/13/2020
Last updated
05/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us