Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elio Polsinelli Jr., OD

Individual provider Optometrist · NPI 1073694980

Dr. Elio Polsinelli Jr., OD is an Optometry in Lake Oswego, Oregon. Graduated from State University of New York - State College Optometry in 2006, 20 years ago. Practices with Polsinelli Optometry PC, a 2-clinician group. Licensed in California, New Jersey, New York and Oregon.

Years since qualifying
20
Trained at
State University of New York - State College Optometry
Licensed in
CA, NJ, NY, OR
In the registry since
2006
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4859 Meadows Rd Ste 155
Lake Oswego, OR 97035-2628
Phone: (415) 800-7763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence AT4542 (OR)
Optometrist Taxonomy 152W00000X · Licence OPT 13359T (CA)
Optometrist Taxonomy 152W00000X · Licence 27OA00605800 (NJ)
Optometrist Taxonomy 152W00000X · Licence TUV 007065 (NY)

Record details

NPI number1073694980
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 18, 2006
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Polsinelli Optometry Pc — 2 clinicians
Accepts Medicare assignment Not indicated

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