DR. ELIO POLSINELLI JR. O.D.
NPI 1073694980
Optometrist in Lake Oswego, OR

Active since October 18, 2006PECOS Enrolled
4859 MEADOWS RD STE 155, LAKE OSWEGO, OR 97035(415) 800-7763 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Elio Polsinelli Jr. O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIO POLSINELLI JR. O.D. (NPI 1073694980) is an individual optometrist in Lake Oswego, Oregon, licensed in Oregon (AT4542) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2006).

NPPES Registry Identity

NPI1073694980
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELIO POLSINELLI JR.Credential: O.D.
Location Address4859 MEADOWS RD STE 155Lake Oswego, OR 97035-2628
Mailing Address4859 Meadows Rd Ste 155Lake Oswego, OR 97035-2628
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2006
Enumeration DateOctober 18, 2006
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1073694980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · AT4542 Licensed in NY · TUV 007065 Licensed in NJ · 27OA00605800 Licensed in CA · OPT 13359T
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4859 MEADOWS RD STE 155, Lake Oswego, OR 97035

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elio Polsinelli Jr. O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345325577
PECOS Enrollment IDI20210408001480
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4859 MEADOWS RD STE 155
LAKE OSWEGO, OR 97035
Optometrist
4859 MEADOWS RD STE 155
LAKE OSWEGO, OR 97035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elio Polsinelli's NPI number?

The NPI number for Elio Polsinelli is 1073694980. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Elio Polsinelli located?

Elio Polsinelli practices at 4859 Meadows Rd Ste 155, Lake Oswego, OR 97035. The listed phone number is (415) 800-7763.

What is Elio Polsinelli's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Elio Polsinelli enrolled in Medicare?

Yes. Elio Polsinelli is registered in the Medicare PECOS enrollment system.

What insurance does Elio Polsinelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Kaiser Permanente and 2 other insurers list Elio Polsinelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elio Polsinelli was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.