DR. SALLY R. POLING (O.D.) – Optometrist, NPI 1215043799

DR. SALLY R. POLING (O.D.) is a healthcare provider. based in Greenwood, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18002232 (IN). The NPI Number for DR. SALLY R. POLING (O.D.) is 1215043799

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. SALLY R. POLING (O.D.)
NPI
1215043799
Phone
(317) 888-9038
Address
1133 N EMERSON AVE
Enumeration Date
21 August 2006
Last Update Date
17 May 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3178970480
Graduation Year
1986 (40 years ago)
PAC ID
6002105822
Group Practice PAC ID
6800281825
Professional Enrollment ID
I20160518001707
Address ID
IN462292642IN10777STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. SALLY R. POLING (O.D.)

  • 1133, North Emerson Avenue, Greenwood, Johnson County, Indiana, 46143, United States

    GREENWOOD, IN 461436275

    Phone: (317) 888-9038

    Fax: (317) 888-9079

    Type: Location

  • West Lowell Road, Corn Brook, Columbus, Bartholomew County, Indiana, United States

    COLUMBUS, IN 472014648

    Phone: (812) 379-9082

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Alcon Vision LLC ($162).

Total Amount

$271

General + Research + Ownership

Payments

4

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160518001707IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800281825View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YKY
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SALLY R. POLING (O.D.)'s NPI?
Yes. DR. SALLY R. POLING (O.D.) is listed with NPI 1215043799 in the public NPI dataset.
Is DR. SALLY R. POLING (O.D.) still practicing?
DR. SALLY R. POLING (O.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. SALLY R. POLING (O.D.)?
For research purposes, treat DR. SALLY R. POLING (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SALLY R. POLING (O.D.) on a map?
Expect Greenwood, Indiana as a primary anchor for DR. SALLY R. POLING (O.D.) unless the record lists multiple sites.
Why does DR. SALLY R. POLING (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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