Active NPI
Timothy Raymond Poling, O.D.
- Optometrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001363
- Practice address
- 4822 Valley View Blvd NW Ste C
Roanoke, VA 24012-2046 - Phone
- (540) 563-8279
- NPI assigned
- May 14, 2013
- Last updated
- May 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001363 | VA | Primary |
Addresses
Primary practice location
4822 Valley View Blvd NW Ste C
Roanoke, VA 24012-2046
Mailing address
511 Roanoke Blvd
Suite 1
Salem, VA 24153-5032
Phone (540) 797-2780
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W 4TH St
Salem, VA 24153-4907
Phone (540) 387-1183
29 W Main St
Christiansburg, VA 24073-2941
Phone (540) 381-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001363 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Salem, Inc | Optometrist | Current | Accepting new patients |
| Eye Care Christiansburg Inc | Optometrist | Current | Accepting new patients |
Locations
29 W Main St
Christiansburg, VA 24073
Phone (540) 381-2020
101 W 4th St
Salem, VA 24153
Phone (540) 387-1183
Interoperability endpoints
- tpoling@invisionchristiansburg.eyefinity-direct.com
- tpoling@invisionsalem.eyefinity-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}
Other providers in Roanoke, VA
Sources for this page
- 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.