DR. CLIFTON WAYNE POLING O.D. NPI 1770560872

NPI Information

NPI: 1770560872
Provider Name: DR. CLIFTON WAYNE POLING, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
21 N MIAMI ST
WEST MILTON, OH
ZIP 45383
Phone: (937) 698-5171
Get Directions

DR. Clifton Wayne Poling, O.D. is a corneal and contact management optometrist in West Milton, OH. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Clifton Wayne Poling, O.D. NPI is 1770560872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21 N MIAMI ST
WEST MILTON, OH
ZIP 45383-831
Phone: (937) 698-5171
Fax: (937) 698-3600

The NPI 1770560872 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/29/2005 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	3302/837	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0217800001	MEDICARE NSC	OHIO
2	T47939	MEDICARE UPIN	OHIO
3	0539832	MEDICARE ID-TYPE UNSPECIFIED	OHIO
4	0527246	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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