Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley Polan, OPTICIAN

Individual provider Ophthalmic Technician/Technologist · NPI 1598017840

Bradley Polan, OPTICIAN is an Ophthalmic Technician/Technologist in Jackson Heights, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

8202 37th Ave
Jackson Heights, NY 11372-7023
Phone: (718) 478-3539
Fax: (718) 205-0963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmic Technician/Technologist (primary) Taxonomy 156FX1100X · Licence 006299-2 (NY)

Record details

NPI number1598017840
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedOctober 11, 2012
Last updated in NPPESOctober 11, 2012

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