Provider Demographics
NPI:1134427164
Name:CATALINA EYE CARE PC
Entity type:Organization
Organization Name:CATALINA EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-576-5110
Mailing Address - Street 1:4021 E SUNRISE DR
Mailing Address - Street 2:STE 121
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-4332
Mailing Address - Country:US
Mailing Address - Phone:520-576-5110
Mailing Address - Fax:520-529-7165
Practice Address - Street 1:4021 E SUNRISE DR
Practice Address - Street 2:STE 121
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-4332
Practice Address - Country:US
Practice Address - Phone:520-576-5110
Practice Address - Fax:520-529-7165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14129468332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier