Walter Potaznick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA 2567T Issued in MA

Practice address

584A High St
Dedham, MA 02026-1807

Phone

(781) 471-4338

Fax

(781) 471-4339

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Claire a Bergus

  • Optometrist
  • Fall River, MA
  • NPI 1427126879
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1861562217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 A HIGH STREET",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261807",
            "telephone_number": "781-471-4339",
            "fax_number": "781-471-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584A HIGH ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261807",
            "telephone_number": "781-471-4338",
            "fax_number": "781-471-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "772 County St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027806947",
            "country_code": "US",
            "telephone_number": "508-880-9505",
            "fax_number": "508-880-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "473 South St W Ste 14",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027675306",
            "country_code": "US",
            "telephone_number": "508-880-9505",
            "fax_number": "508-880-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTAZNICK",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "MA 2567T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MA",
            "license": "MA 2567T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MA",
            "license": "MA 2567T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA 2567T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Edith Pizarro, LCSW
• Alexander Plum, DPT
• Nadege Poirier-Nye
• Sarah Poliatti, DPT
• Yosselin Elizabeth Portillo
• Danielle Power
• Rachael V Powers, MA, BCBA, LABA
• David Pransky, LCSW
• Jillian Presser, PT
• Prevail Care Center LLC

• Optometrist in Dedham, MA
• Providers in Dedham, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.

Verify at the official NPI Registry.