DR. GARY DAVID POLAN (NPI# 1942368972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942368972 |
Entity Type | Individual |
Full Name | DR. GARY DAVID POLAN |
Credential | O.D. |
Practice Address |
970 Monument St Ste 102 Pacific Palisades CA 90272-3860 |
Practice Telephone | 3104590055 |
Practice Fax Number | 3104594070 |
Mailing Telephone | 3104590055 |
Mailing Fax Number | 3104594070 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2019-12-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
CA8007TPL | CA | Eye and Vision Services Providers |
Street Address |
970 MONUMENT ST STE 102 |
City | PACIFIC PALISADES |
State | CA |
Zip Code | 90272-3860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467562140 | Alison C Garb | Internal Medicine | 970 Monument St, Ste 210, Pacific Palisades, CA 90272-3891 | 2006-08-30 |
1598101891 | Debbie Steffin | Physical Therapist | 970 Monument St, Suite 207, Pacific Palisades, CA 90272-3800 | 2013-05-14 |
1235384785 | Michael R Block M D Inc | Internal Medicine | 970 Monument St, Suite 210, Pacific Palisades, CA 90272-3800 | 2008-11-25 |
1306005194 | Gena Sloane Pruetz | Physical Therapist | 970 Monument St, Suite 207, Pacific Palisades, CA 90272-3800 | 2008-06-05 |
1477763597 | Ramin Moayeri | Dentist | 970 Monument St, Suite 214, Pacific Palisades, CA 90272-3800 | 2007-05-24 |
1659493047 | Howard Lehrhoff | Internal Medicine | 970 Monument St, Suite 114, Pacific Palisades, CA 90272-3800 | 2007-04-04 |
1164585972 | Lawrence Burns Henry | Optometrist | 970 Monument St, Suite 204, Pacific Palisades, CA 90272-3800 | 2006-12-19 |
1306923016 | Nasreen Babu-khan | Dermatology | 970 Monument St, Suite 114, Pacific Palisades, CA 90272-3800 | 2006-11-01 |
1134203656 | Michael R Block | Internal Medicine | 970 Monument St, Suite 210, Pacific Palisades, CA 90272-3891 | 2006-10-24 |
1578664678 | A Etoile Davie Md Inc | Pediatrics | 970 Monument St, Suite 220, Pacific Palisades, CA 90272 | 2006-09-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
Find all providers in zip 90272 |
Taxonomy Code | 152WV0400X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Vision Therapy |
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184288862 | Elizabeth Yeh | Optometrist | 970 Monument St Ste 102, Pacific Palisades, CA 90272-3860 | 2019-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255986014 | Johann Josue Schlager | Optometrist | 901 Dover Dr Ste 100, Newport Beach, CA 92660-5514 | 2019-08-07 |
1558848986 | Judy Cao, Od, Inc | Optometrist | 360 E Las Tunas Dr Unit 203, San Gabriel, CA 91776-1502 | 2018-07-27 |
1811362718 | Dr. Robert S. Christensen Inc. | Optometrist | 250 Camino Alto, Suite 110, Mill Valley, CA 94941-1400 | 2015-12-03 |
1992112684 | Belinda Kuo | Optometrist | 2141 W Orangewood Ave, Suite B, Orange, CA 92868-1955 | 2014-07-15 |
1720410137 | Katie L Elton | Optometrist | 24640 Jefferson Ave. Suite 100, Murrieta, CA 92562 | 2013-08-08 |
1619147535 | Timothy Andrew Wilkins | Optometrist | 2331 Kern St, Fresno, CA 93721-2700 | 2008-03-06 |
1922281930 | Corinna Marie Shelley | Optometrist | 2104 W Grant Line Rd, Tracy, CA 95377-7309 | 2007-12-12 |
1114041746 | Allison Hongdiep Cao-le | Optometrist | 454 Alvarado St, Monterey, CA 93940-2717 | 2007-03-19 |
1336276757 | Cornelius Mietus | Optometrist | 1125 Coast Village Rd, Santa Barbara, CA 93108-2716 | 2007-02-27 |
1245365865 | Alan Marc Winkelstein | Optometrist | 30520 Rancho California Rd, Suite A106, Temecula, CA 92591-3212 | 2007-02-22 |
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City | PACIFIC PALISADES |
Zip Code | 90272 |
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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.