Individual provider Active NPI

Alexandra Elena Potter, OD

  • Optometrist
  • Brecksville, OH
National Provider Identifier
1124649215
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006872 Issued in OH
Practice address
7001 S Edgerton Rd Ste B
Brecksville, OH 44141-4206
Phone
(440) 526-1974
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT.006872 OH Primary

Addresses

Primary practice location

7001 S Edgerton Rd Ste B
Brecksville, OH 44141-4206

Mailing address

7001 S Edgerton Rd Ste B
Brecksville, OH 44141-4206
Phone (405) 261-9744

Other practice location 1

3706 Rocky River Dr
Cleveland, OH 44111-4038
Phone (216) 941-3303

Other practice location 2

946 Pearl Rd
Brunswick, OH 44212-2562
Phone (330) 273-1010

Other practice location 3

3510 Manchester Rd
Coventry Township, OH 44319-1415
Phone (330) 753-2100

Other practice location 4

8051 Vesta Ave Ste 2
Northfield, OH 44067-2081
Phone (330) 468-0585

Other practice location 5

409 N Court St
Medina, OH 44256-1869
Phone (330) 725-4680

Other practice location 6

34302 Euclid Ave Unit 3
Willoughby, OH 44094-3334
Phone (440) 942-3677

Other practice location 7

7199 Pearl Rd Ste C
Cleveland, OH 44130-4970
Phone (440) 843-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722001645 OH Practitioner - Optometry 2264835792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ohio Eye Surgeons IncGroup PAC ID 3577537042, 32 clinicians

Practice addresses (Care Compare)

2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201

4463 Weymouth Rd
Medina, OH 44256-9249
Phone (330) 678-0201

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
81.19
Promoting interoperability
83
Improvement activities
40
Cost
78.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006872OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Western Reserve Eye Associates, Inc. Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Northern Ohio Eye Consultants Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Clarkson Optometry Midwest Inc. Optometrist CurrentSince Jan 16, 2024 Accepting new patients
Northern Ohio Eye Consultants Inc CurrentSince Jul 1, 2021 Accepting new patients
Northern Ohio Eye Consultants, Inc Optometrist Past Accepting new patients

Locations

1558 Akron Peninsula Rd
Akron, OH 44313
Phone (330) 922-0828

36505 Detroit Rd
Avon, OH 44011
Phone (216) 390-1020

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

7001 S Edgerton Rd
Ste A
Brecksville, OH 44141
Phone (440) 717-0491

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

946 Pearl Rd
Brunswick, OH 44212
Phone (330) 273-1010

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

1180 E Broad St
Elyria, OH 44035
Phone (440) 365-5965

2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185

1710 Cooper Foster Park Rd W
Ste B
Lorain, OH 44053
Phone (440) 282-3300

4463 Weymouth Rd
Medina, OH 44256
Phone (330) 722-2150

7199 Pearl Rd
Ste C
Middleburg Heights, OH 44130
Phone (440) 843-6900

8051 Vesta Ave
Ste 2
Northfield, OH 44067
Phone (330) 468-0585

1155 State Route 303
Streetsboro, OH 44241
Phone (330) 422-2020

Interoperability endpoints

  • Direct secure messaging: apotter@neoes.intellechartdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1124649215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S EDGERTON RD STE B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441414206",
            "telephone_number": "405-261-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S EDGERTON RD STE B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441414206",
            "telephone_number": "440-526-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3706 Rocky River Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441114038",
            "country_code": "US",
            "telephone_number": "216-941-3303",
            "fax_number": "216-671-7447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "946 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442122562",
            "country_code": "US",
            "telephone_number": "330-273-1010",
            "fax_number": "330-225-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Coventry Township",
            "state": "OH",
            "postal_code": "443191415",
            "country_code": "US",
            "telephone_number": "330-753-2100",
            "fax_number": "330-644-0187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8051 Vesta Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "OH",
            "postal_code": "440672081",
            "country_code": "US",
            "telephone_number": "330-468-0585",
            "fax_number": "330-468-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 N Court St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442561869",
            "country_code": "US",
            "telephone_number": "330-725-4680",
            "fax_number": "330-725-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34302 Euclid Ave Unit 3",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440943334",
            "country_code": "US",
            "telephone_number": "440-942-3677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7199 Pearl Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441304970",
            "country_code": "US",
            "telephone_number": "440-843-6900",
            "fax_number": "440-886-7238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ALEXANDRA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.