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ERIN POLUKOSHKO, OD, PC
NPI 1629671011
Optometrist in Reno, NV

Active since November 18, 2020
6633 S VIRGINIA ST STE D, RENO, NV 89511(775) 624-3109 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2025, Nov 18, 2020 (2 updates tracked since 2020).

About Erin Polukoshko, Od, Pc NPPES

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

ERIN POLUKOSHKO, OD, PC (NPI 1629671011) is a healthcare organization registered as an optometrist in Reno, Nevada and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Reno and lists Erin Polukoshko, President, as its authorized official.

NPPES Registry Identity

NPI1629671011
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameERIN POLUKOSHKO, OD, PC
Location Address6633 S VIRGINIA ST STE DReno, NV 89511-1162
Mailing AddressPo Box 18822Reno, NV 89511-0018
Phone(775) 624-3109
Organization SubpartNo
Authorized OfficialErin PolukoshkoPresident · (775) 412-5558
Enumeration DateNovember 18, 2020
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1629671011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
6633 S VIRGINIA ST STE D, Reno, NV 89511
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Secondary Practice Location 1

Location 13620 Mayberry Dr Ste 103Reno, NV 89509-2131 · Phone (775) 525-3377 · Fax (775) 549-6095

Other Identifiers 1

Medicaid1124700869NV

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

Other Providers at the Same Location NPPES

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

EYEMART EXPRESS LTD
Eyewear Supplier
6633 S VIRGINIA ST STE D
RENO, NV 89511
Washoe County (775) 345-3822

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 Erin Polukoshko, Od, PC's NPI number?

The NPI number for Erin Polukoshko, Od, PC is 1629671011. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Erin Polukoshko, Od, PC located?

Erin Polukoshko, Od, PC is located at 6633 S Virginia St Ste D, Reno, NV 89511. The listed phone number is (775) 624-3109.

What is Erin Polukoshko, Od, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Erin Polukoshko, Od, PC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.