Courtney Lynn Poling, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2995T96 Issued in OH

Practice address

303 W Fifth St
Marysville, OH 43040-0396

Phone

(937) 644-2075

Fax

(937) 644-2017

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Thomas Wolf, O.D.

  • Optometrist
  • Springfield, OH
  • NPI 1760517924
  Medicare reassignment

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.

• Courtney L Poling OD

  • Optometrist
  • Marysville, OH
  • NPI 1710166590
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447360185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "address_2": "303 W FIFTH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400396",
            "telephone_number": "937-644-2075",
            "fax_number": "937-644-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W FIFTH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400396",
            "telephone_number": "937-644-2075",
            "fax_number": "937-644-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2995T96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00478013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmaceutical Synergy Inc (Daves Pharmacy)
• Kathryn Lucille Pierce, SWT
• Lynne Pinkus, OTR/L, CHT
• Erin Pitzer
• Jennifer Daye Plumley, LISW
• Jenna Poling, LCDCII
• Alice M. Pollard, R.D., L.D.
• Gerald Polley
• Jennifer Lee Polley
• Allison L Pond, D.O.

• Optometrist in Marysville, OH
• Providers in Marysville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.