Active NPI
Sally R. Poling, O.D.
- Optometrist
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002232
- Practice address
- 1133 N Emerson Ave
Greenwood, IN 46143-6275 - Phone
- (317) 888-9038
- Fax
- (317) 888-9079
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- 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 | 18002232 | IN | Primary |
Addresses
Primary practice location
1133 N Emerson Ave
Greenwood, IN 46143-6275
Mailing address
6580 W Lowell Rd
Columbus, IN 47201-4648
Phone (812) 379-9082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160518001707 | IN | Practitioner - Optometry | 6002105822 |
Reassigns benefits to 1 organization Practice locations: Greenwood, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Impressions Optometric Associates, LLC
Practice addresses (Care Compare)
10777 E Washington St
Suite a Visionworks Doctors of Optometry
Indianapolis, IN 46229-2642
Phone (317) 897-0480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002232 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Impressions Optometric Associates, LLC | Optometrist | Current | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Current | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
Locations
1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020
11781 Commercial Dr
Fishers, IN 46038
Phone (317) 513-3234
1251 US Highway 31 N
Ste K3A
Greenwood, IN 46142
Phone (317) 883-0419
10777 E Washington St
Ste A
Indianapolis, IN 46229
Phone (317) 397-0480
2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010
Organizations & group practices 16
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.
-
- Optometrist
- Bloomington, IN
- NPI 1083366363
IN, Optometrist
-
- Eyewear Supplier
- Highland, IN
- NPI 1942960539
Optometrist
-
- Eyewear Supplier
- Fishers, IN
- NPI 1457011041
Optometrist
-
- Eyewear Supplier
- Indianapolis, IN
- NPI 1841950433
Optometrist
-
- Eyewear Supplier
- Merrillville, IN
- NPI 1003576679
-
- Eyewear Supplier
- Lafayette, IN
- NPI 1134889728
-
- Eyewear Supplier
- New Albany, IN
- NPI 1134889827
-
- Eyewear Supplier
- Bloomington, IN
- NPI 1144980830
-
- Eyewear Supplier
- Avon, IN
- NPI 1205596996
-
- Eyewear Supplier
- Evansville, IN
- NPI 1255091849
-
- Eyewear Supplier
- Clarksville, IN
- NPI 1417617101
-
- Eyewear Supplier
- Carmel, IN
- NPI 1467112052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1215043799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6580 W LOWELL RD",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472014648",
"telephone_number": "812-379-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 N EMERSON AVE",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461436275",
"telephone_number": "317-888-9038",
"fax_number": "317-888-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLING",
"first_name": "SALLY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.