| Dr Clifton Wayne Poling, OD | |
|
21 N Miami St, West Milton, OH 45383-1831 | |
| (937) 698-5171 | |
| (937) 698-3600 |
| Full Name | Dr Clifton Wayne Poling |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 21 N Miami St, West Milton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770560872 | NPI | - | NPPES |
| 0527246 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 3302/837 (Ohio) | Primary |
| Provider Name | West Milton Vision Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255913190 PECOS PAC ID: 8527467026 Enrollment ID: O20210603002379 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clifton Wayne Poling, OD 21 N Miami St, West Milton, OH 45383-1831 Ph: (937) 698-5171 | Dr Clifton Wayne Poling, OD 21 N Miami St, West Milton, OH 45383-1831 Ph: (937) 698-5171 |
West Milton Vision Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1105 S Miami St, West Milton, OH 45383 Phone: 937-698-5171 Fax: 937-698-3600 | |
West Milton Vision Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21 North Milton Street, West Milton, OH 45383 Phone: 937-698-5171 Fax: 937-698-3600 | |
Megan Cecilia Bertke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 N Miami St, West Milton, OH 45383 Phone: 937-698-5171 |