VISION SOURCE MARYSVILLE
NPI 1992316848
Optometrist in Marysville, OH
About Vision Source Marysville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION SOURCE MARYSVILLE (NPI 1992316848), doing business as Courtney Lynn Poling Od, is a healthcare organization registered as an optometrist in Marysville, Ohio and active in the NPI registry since August 2020. The organization lists Mallorie Goodridge, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vision Source Marysville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vision Source Marysville, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vision Source Marysville's NPI number?
The NPI number for Vision Source Marysville is 1992316848. It was assigned to this organization in the NPPES registry on August 13, 2020. The provider was formerly known as Courtney Lynn Poling Od.
Where is Vision Source Marysville located?
Vision Source Marysville is located at 303 W 5th St, Marysville, OH 43040. The listed phone number is (937) 644-2075.
What is Vision Source Marysville's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vision Source Marysville enrolled in Medicare?
Yes. Vision Source Marysville is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vision Source Marysville?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Marysville. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vision Source Marysville accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Vision Source Marysville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vision Source Marysville was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vision Source Marysville · NPI 1992316848
Optometrist organization in Marysville, Ohio. Organization record, active in the CMS NPPES registry since August 13, 2020.
## Identity
- **NPI:** 1992316848 (Entity type: Organization)
- **Enumerated:** August 13, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Courtney L Poling Od)
- **Authorized official:** Mallorie Goodridge, OFFICE MANAGER
## Practice location
- **Address:** 303 W 5TH ST, Marysville, OH 43040-1113
- **Phone:** (937) 644-2075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1992316848) · Data from the CMS NPPES public registry.