Vision Source Marysville
NPI 1992316848ActiveOrganization· Optometrist· Marysville, OH
Optometrist in Marysville, Ohio, registered in NPPES in August 2020, part of Courtney L Poling Od. The authorized official on file is Mallorie Goodridge, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992316848 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Courtney L Poling Od |
| NPI issued | Aug 13, 2020 |
| Last updated in NPPES | May 10, 2021 |
| Certified by provider | May 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other Optometrist providers in Marysville
- 1710166590
- 1790318012
- 1093596298
- 1194512749
- 1396518353
- 1891729620
- 1023209350
- 1386228815
- 1962659995
- 1740346519
- 1366720922
- 1720431760