Mark Potomak

Primary specialty

OptometristTaxonomy code 152W00000X

License

60763417 Issued in WA

Practice address

2520 James St
Bellingham, WA 98225-3545

Phone

(360) 393-4000

NPI assigned

Jul 26, 2017

Last updated

Jul 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

New England College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyeco Optometry PSGroup PAC ID 0143286716, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyeco Optometry PS

  dba Vision Plus

  • Optometrist
  • Bellingham, WA
  • NPI 1083827372
  Medicare reassignment Care Compare group NPD
• Vision Plus of Barkley PLLC

  • Optometrist
  • Bellingham, WA
  • NPI 1437774734
  Medicare reassignment NPD
• Division Eyecare

  dba Vision Plus

  • Optometrist
  • Oak Harbor, WA
  • NPI 1154536217
  NPD (past)
• Vision Plus in Lynden

  • Optometrist
  • Lynden, WA
  • NPI 1205121159
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1407370091",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7768 258TH ST",
            "city": "ALDERGROVE",
            "state": "BC",
            "postal_code": "V4W1V4"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253545",
            "telephone_number": "360-393-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTOMAK",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60763417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yarrow Amybeth Pospisil, M.A., CCC
• Samantha Laurie Poss, ARNP, PMHNP-BC, MSN
• Annlee Post
• Brenda C Post, RN MSN
• Heidi Jo Postlewait
• Kathleen Potthoff, LICENSED MIDWIFE
• Nathan J Potthoff, LMHC, CN, MHP
• Breeze Caroline Shaw Potts, M.A.
• Nicole H Potts, BA
• Veronica Dee Potts, LPN

• Optometrist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.