Dr. Timothy Raymond Poling
Optometrist
4822 Valley View Blvd Nw Ste C
Roanoke
, Virginia 24012-2046
Dr. Timothy Raymond Poling
Optometrist
4822 Valley View Blvd Nw Ste C
Roanoke
, Virginia 24012-2046
(703) 782-0220
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Timothy Raymond Poling
- 511 Roanoke Blvd Suite 1
- Salem, VA
- Zip : 24153-5032
- Fax : (703) 782-0220
- Phone : (540) 797-2780
Second Address
- Dr. Timothy Raymond Poling
- 4822 Valley View Blvd Nw Ste C
- Roanoke, VA
- Zip : 24012-2046
- Phone : (540) 563-8279
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618001363 | VA |
National Provider Identifier
| NPI | 1013353390 |
|---|---|
| Provider Name | Dr. Timothy Raymond Poling |
| First Address | Salem, VA 24153-5032 |
| Second Address | Roanoke, VA 24012-2046 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2013 |
| Last Update Date | 14/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.