Active NPI
Austin David Potter, O.D.
- Optometrist
- McCordsville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003358A
- Practice address
- 5953 W Broadway
MC Cordsville, IN 46055-9355 - Phone
- (317) 747-9263
- Fax
- (317) 747-9271
- NPI assigned
- Jul 27, 2006
- Last updated
- May 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003358A | IN | Primary |
Addresses
Primary practice location
5953 W Broadway
MC Cordsville, IN 46055-9355
Mailing address
3632 S Cedar Creek LN
New Palestine, IN 46163-8719
Phone (317) 753-8852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000502302 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2835 Lafayette Rd
Indianapolis, IN 46222-2147
Phone (317) 926-0283
5937 W Broadway
McCordsville, IN 46055-9355
Phone (317) 747-9263
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003358A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Optical Co., Inc. | Optometrist | Current | Accepting new patients |
| City Optical Co., Inc. | Optometrist | Current | Accepting new patients |
| Potter Family Eye Care, LLC | Optometrist | Current | Accepting new patients |
| City Optical Co., Inc. | Optometrist | Current | Accepting new patients |
| City Optical Co., Inc. | Optometrist | Past | Accepting new patients |
| City Optical Co., Inc. | Optometrist | Past | Accepting new patients |
| City Optical Co., Inc. | Optometrist | Past | Accepting new patients |
Locations
2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300
2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300
982 N Mitthoefer Rd
Indianapolis, IN 46229
Phone (317) 898-2835
5937 W Broadway
McCordsville, IN 46055
Phone (317) 747-9263
5953 W Broadway
McCordsville, IN 46055
Phone (317) 747-9263
Organizations & group practices 7
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.
-
- Optometrist
- Fishers, IN
- NPI 1366274235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1508870742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 S CEDAR CREEK LN",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461638719",
"telephone_number": "317-753-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5953 W BROADWAY",
"city": "MC CORDSVILLE",
"state": "IN",
"postal_code": "460559355",
"telephone_number": "317-747-9263",
"fax_number": "317-747-9271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "AUSTIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003358A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000502302",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McCordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.