Doctor Name: | DR. CLIFTON WAYNE POLING |
NPI Number: | 1770560872 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 3302/837 |
Business Practice Address: | 21 N Miami St West Milton, OH - 453831831 |
Business Phone Number: | 9376985171 |
Business Fax Number: | 9376983600 |
Mailing Address: | 21 N Miami St, WEST MILTON |
State: | OH |
Postal Code: | 453831831 |
Phone Number: | 9376985171 |
Fax Number: | 9376983600 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 3302/837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |