Laura Anne Potvin

Primary specialty

OptometristTaxonomy code 152W00000X

License

3365 Issued in MA

Practice address

939 Salem St
Suite 7
Groveland, MA 01834-1565

Phone

(978) 374-8991

NPI assigned

Jan 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Laura Anne Potvin, P.C.

  • Optometrist
  • Groveland, MA
  • NPI 1619985082
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1346229655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 SALEM ST",
            "address_2": "SUITE 7",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341565",
            "telephone_number": "978-374-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 SALEM ST",
            "address_2": "SUITE 7",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341565",
            "telephone_number": "978-374-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTVIN",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3365",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "3365",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "3365",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MA",
            "license": "3365",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MA",
            "license": "3365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353833",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Moore, LMHC #8858
• Abigale Muise, MD
• Danielle Marie Tache Oliva, M. S., CCC-SLP
• Martha B Ouimet, LIC. AC.
• Christopher Neil Pirrello, LMT
• David Charles Quenneville, R.PH
• Brianna Quigley, MSOTR/L
• Stephany Quinlan, D.M.D.
• Cyndia Lee Rafferty, RN, PC
• Brittany Regan, CLC, CBS

• Optometrist in Groveland, MA
• Providers in Groveland, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.