Timothy Raymond Poling, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001363 Issued in VA

Practice address

4822 Valley View Blvd NW Ste C
Roanoke, VA 24012-2046

Phone

(540) 563-8279

NPI assigned

May 14, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Salem, IncGroup PAC ID 4688683741, 5 clinicians

Eye Care Christiansburg IncGroup PAC ID 8022189646, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpoling@invisionsalem.eyefinity-direct.com
• Direct secure messaging: tpoling@invisionchristiansburg.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Care Christiansburg Inc

  • Optometrist
  • Christiansburg, VA
  • NPI 1619068640
  Medicare reassignment Care Compare group NPD
• Eyecare Salem, Inc

  • Optometrist
  • Salem, VA
  • NPI 1073545539
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1013353390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ROANOKE BLVD",
            "address_2": "SUITE 1",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535032",
            "telephone_number": "540-797-2780",
            "fax_number": "703-782-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 VALLEY VIEW BLVD NW STE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122046",
            "telephone_number": "540-563-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "TIMOTHY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Landon Poff
• Mary B Poff
• Rodney J Poffenberger, M.D.
• Allison Ann Poggendorf
• Akhil Sai Pola, M.B.B.S
• Colleen Schlenke Pollard, LCSW
• Devaughn Jerron Pollard, NP
• Alina Polonsky, MD
• Brenna Heaney Ponton, PA-C
• Robert Earl Pooley, M.D.

• Optometrist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.