Provider Demographics
NPI:1881850758
Name:POLEC, TANYA ELAINE (OD, FCOVD)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:ELAINE
Last Name:POLEC
Suffix:
Gender:F
Credentials:OD, FCOVD
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:ELAINE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD, FCOVD, FNORA
Mailing Address - Street 1:3900 N SABINO CANYON RD STE 1002
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-2130
Mailing Address - Country:US
Mailing Address - Phone:520-299-4100
Mailing Address - Fax:520-299-1401
Practice Address - Street 1:3900 N SABINO CANYON RD STE 1002
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-2130
Practice Address - Country:US
Practice Address - Phone:520-299-4100
Practice Address - Fax:520-299-4101
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01250152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy