NPIMap

Organization Active NPI

Dr. Laura Anne Potvin, P.C.

  • Optometrist
  • Groveland, MA
National Provider Identifier
1619985082
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3365 Issued in MA
Legal business name
DR. LAURA ANNE POTVIN, P.C.
Practice address
291 Main St
Groveland, MA 01834-1234
Phone
(978) 374-8991
Fax
(978) 373-7852
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Laura Anne Potvin, O.D.NPI 1346229655
Title
Owner, Ceo
Phone
(508) 837-3790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3365 MA Primary

Addresses

Primary practice location

291 Main St
Groveland, MA 01834-1234

Mailing address

291 Main St
P.O. Box 232
Groveland, MA 01834-1234
Phone (508) 837-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000100 MA Part B Supplier - Clinic/Group Practice 9032023890 Receives reassigned benefits from 6 practitioners
Practice locations: Groveland, MA

National Provider Directory

National Provider Directory

Locations

939 Salem St
Groveland, MA 01834
Phone (978) 558-0490

291 Main St
Groveland, MA 01834
Phone (978) 374-8991

939 Salem St
Unit 7
Groveland, MA 01834
Phone (978) 374-8991

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1619985082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "address_2": "P.O. BOX 232",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341234",
            "telephone_number": "508-837-3790",
            "fax_number": "978-373-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341234",
            "telephone_number": "978-374-8991",
            "fax_number": "978-373-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAURA ANNE POTVIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "POTVIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "508-837-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.