DR. ILANA GELFOND-POLNARIEV OD
NPI 1619972361
Optometrist - Pediatrics in Staten Island, NY

Q: What is Ilana Gelfond-polnariev's NPI number?

The NPI number for Ilana Gelfond-polnariev is 1619972361. It was assigned to this individual provider in the NPPES registry on June 18, 2005. The provider is also known as Dr. Ilana Gelfond Od.

Q: What is Ilana Gelfond-polnariev's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Active since June 18, 2005PECOS Enrolled

4079 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 481-2020(347) 824-2010 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2026, Jul 21, 2022, Jul 5, 2017 (3 updates tracked since 2017).

On this page

About Dr. Ilana Gelfond-polnariev Od NPPES

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

DR. ILANA GELFOND-POLNARIEV OD (NPI 1619972361) is an individual pediatrics provider in Staten Island, New York, licensed in New York (TUV006588) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2002).

NPPES Registry Identity

NPI1619972361

Entity TypeIndividualFemale

Primary Taxonomy152WP0200X

Provider Legal NameDR. ILANA GELFOND-POLNARIEVCredential: OD

Location Address4079 RICHMOND AVEStaten Island, NY 10312-5633

Mailing Address4079 Richmond AveStaten Island, NY 10312-5633 · (718) 481-2020 · Fax (347) 824-2010

Phone(718) 481-2020

Fax(347) 824-2010

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 2002

Enumeration DateJune 18, 2005

Last NPPES UpdateMay 1, 20263 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1619972361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers

Taxonomy Code152WP0200X

License✔ Licensed in NY · TUV006588

Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

4079 RICHMOND AVE, Staten Island, NY 10312

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Ilana Gelfond Od

Other Identifiers 1

Medicaid02499796NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilana Gelfond-polnariev Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880689454

PECOS Enrollment IDI20040415000108

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.

Medicare Billing Reassignments

Medicare enrollment records show Ilana Gelfond-polnariev reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ilana Gelfond Polnariev Od PC

0.5 mi

Optometrist

4300 HYLAN BLVD STE 1BC
Staten Island, NY 10312

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1558899971 (718) 481-2020

L'refuah Medical & Rehabilitation Center, Inc.

10 mi

Community Health Worker

1260-78 60TH ST
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
19 clinicians in this Medicare group

NPI 1861859878 (718) 686-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

69 services69 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

68 services63 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

65 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services48 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

55 services47 patients

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

26 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 10

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

MR. MICHAEL JAMES LATTANZIO M.S., P.T.

Physical Therapist