Potter Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003358A Issued in IN

Legal business name

POTTER FAMILY EYE CARE, LLC

Doing business as

Potter Family Eye Care

Practice address

5953 W Broadway
MC Cordsville, IN 46055-9355

Phone

(317) 747-9263

Fax

(317) 747-9271

NPI assigned

Dec 1, 2010

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Austin Potter, O.D.NPI 1508870742

Title

Optometrist

Phone

(317) 747-9263

Specialties & licenses 2

Addresses

Other names 1

• Potter Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Austin David Potter, O.D.

  • Optometrist
  • McCordsville, IN
  • NPI 1508870742
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Marie Leburg, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1659668978
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1801198510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "POTTER FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "317-747-9263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003358A",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18003358A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potter Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abby Jane Oliver
• Open Door Equine Inc
• Dana D Osler
• Jennifer L Palmeri, PTA
• Brandie Parrish
• Austin David Potter, O.D.
• Knjaado Powell
• Premier Choice Home Care
• Prestigious Personal Home Care Services LLC
• Lisa Priel

• Optometrist in McCordsville, IN
• Providers in McCordsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.