Individual provider Active NPI

Austin David Potter, O.D.

  • Optometrist
  • McCordsville, IN
National Provider Identifier
1508870742
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003358A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000502302OtherINANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000045 IN Practitioner - Optometry 2062597941 Reassigns benefits to 2 organizations

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
City Optical Co IncGroup PAC ID 5597668574, 49 clinicians
Potter Family Eye Care, LLCGroup PAC ID 1850578360, 2 clinicians

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

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003358AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist Current Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Jan 4, 2011 Accepting new patients
Potter Family Eye Care, LLC Optometrist CurrentSince Oct 21, 2010 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Jan 4, 2011 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.

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

Verify at the official NPI Registry.