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MS. JESSICA POLAK OD
NPI 1962124016
Optometrist in Brea, CA

Active since September 15, 2022PECOS Enrolled
2500 E IMPERIAL HWY STE 196, BREA, CA 92821(657) 439-5750 Get Directions Write a Review

NPPES record last updated: September 24, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 19, 2022, Sep 15, 2022 (2 updates tracked since 2022).

About Ms. Jessica Polak Od NPPES

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

MS. JESSICA POLAK OD (NPI 1962124016) is an individual optometrist in Brea, California, licensed in California (35309) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962124016
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMS. JESSICA POLAKCredential: OD
Location Address2500 E IMPERIAL HWY STE 196Brea, CA 92821-6121
Mailing Address2500 E Imperial Hwy Ste 196Brea, CA 92821-6121 · (657) 439-5750
Phone(657) 439-5750
Sole ProprietorNo
Enumeration DateSeptember 15, 2022
Last NPPES UpdateSeptember 24, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2023
✔ NPI 1962124016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 35309
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.
2500 E IMPERIAL HWY STE 196, Brea, CA 92821
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Accepted Insurance

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

Ms. Jessica Polak Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92821 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

VISIONARY RETAIL MANAGEMENT CA, INC
Eyewear Supplier
2500 E IMPERIAL HWY STE 196
BREA, CA 92821
Orange County (657) 439-5750
HANSRA OPTOMETRIC CORPORATION
Eyewear Supplier
2500 E IMPERIAL HWY STE 196
BREA, CA 92821
Orange County (657) 439-5750

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 Jessica Polak's NPI number?

The NPI number for Jessica Polak is 1962124016. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Jessica Polak located?

Jessica Polak practices at 2500 E Imperial Hwy Ste 196, Brea, CA 92821. The listed phone number is (657) 439-5750.

What is Jessica Polak's specialty?

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

Is Jessica Polak enrolled in Medicare?

Yes. Jessica Polak is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Polak accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jessica Polak 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 Jessica Polak was last updated on September 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.