Individual provider Active NPI

Tracy Freeman Poling, OD

  • Optometrist
  • Glen Allen, VA
National Provider Identifier
1851370985
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0620000028 Issued in VA
Practice address
4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone
(804) 217-9883
Fax
(804) 217-9065
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0620000028 VA Primary

Addresses

Primary practice location

4114 Innslake Dr
Glen Allen, VA 23060-3344

Mailing address

4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone (804) 217-9883

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420001024 VA Practitioner - Optometry 2062549207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of RichmondGroup PAC ID 6103974217, 10 clinicians

Practice addresses (Care Compare)

4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone (804) 217-9883

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0620000028VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Richmond Optometrist CurrentSince Mar 30, 1998 Accepting new patients

Locations

301 N Washington Hwy
Ste 102
Ashland, VA 23005
Phone (804) 798-3306

4114 Innslake Dr
Glen Allen, VA 23060
Phone (804) 217-9883

4028 Cox Rd
Ste M
Glen Allen, VA 23060
Phone (804) 217-9883

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1851370985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344",
            "telephone_number": "804-217-9883",
            "fax_number": "804-217-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344",
            "telephone_number": "804-217-9883",
            "fax_number": "804-217-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "TRACY",
        "middle_name": "FREEMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0620000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.