Scott Ellis Potter I, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MO-T-2750 Issued in MO

Practice address

19 NW Barry Rd
Kansas City, MO 64155-2728

Phone

(816) 468-4680

Fax

(816) 468-6444

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1265464770
  NPD (past)
• Clarkson Optometry Inc

  • Optometrist
  • Pacific, MO
  • NPI 1215980875
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942394937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 NW 85TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541157",
            "telephone_number": "816-436-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552728",
            "telephone_number": "816-468-4680",
            "fax_number": "816-468-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "SCOTT",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "MO-T-2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Pottebaum, MSN
• Julie Potter, LCSW
• Nicholas Potter
• Renee Potter
• Sarah Michelle Potter, PA-C
• Jennifer Ashley Potterfield, M.A., BCBA
• Kathryn L Potts, FNP
• Nalisa Louise Pouliot, D.C.
• Ellen Poulose Redger, MD
• Jennifer Marie Pound, FNP-C

• Optometrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.