William P. Potthoff, Jr., MD, PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301098907 Issued in MI

Legal business name

WILLIAM P. POTTHOFF, JR., MD, PLC

Doing business as

Potthoff Eye Care & Surgery

Practice address

601 S Garfield Ave Ste a
Traverse City, MI 49686-3481

Phone

(231) 409-1581

NPI assigned

Oct 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. William Potthoff Jr., MDNPI 1568759314

Title

President

Phone

(231) 409-1581

Specialties & licenses 1

Addresses

Other names 1

• Potthoff Eye Care & Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• William Phillip Potthoff Jr., M.D.

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1568759314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509148800000",
    "number": "1740792928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S GARFIELD AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GARFIELD AVE STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863481",
            "telephone_number": "231-409-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P. POTTHOFF, JR., MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-28",
        "last_updated": "2017-10-28",
        "status": "A",
        "authorized_official_last_name": "POTTHOFF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-409-1581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301098907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potthoff Eye Care & Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley J Will, M DIV, MA, LLPC, NCC
• Joseph Gerard Will, M.D.
• Amanda Lee Willemin
• Virginia M Willette-Green, OTR CHT
• Stephanie Willette
• Abigail Elizabeth Williams
• Andra Williams, LPC
• Bob M Williams, M.D.
• Camilla Williams, RPH
• Cathye Williams, BA

• Ophthalmology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2017; 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.