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

Q: 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.

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

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

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: November 01, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Polukoshko, Od, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Erin Polukoshko, Od, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Erin Polukoshko, OD

Optometry

NPI 1497886279

5595 S VIRGINIA ST STE B
Reno, NV 89502

(775) 828-2300

✔ PECOS✔ Accepts Medicare0.6 mi

Sharon Long, OD

Optometry

NPI 1861059537

3033 N CARSON ST
Carson City, NV 89706

(775) 887-8866

✔ PECOS✔ Accepts Medicare19 mi

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

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.

Is Erin Polukoshko, Od, PC enrolled in Medicare?

Yes. Erin Polukoshko, Od, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Erin Polukoshko, Od, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Erin Polukoshko, Od, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 19 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.