Individual provider Active NPI

Gary M Poteet, O.D.

  • Optometrist
  • Laramie, WY
National Provider Identifier
1972574424
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
237T Issued in WY
Practice address
405 S 30TH St
Laramie, WY 82070-5143
Phone
(307) 742-2020
NPI assigned
Jan 31, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 237T WY Primary

Addresses

Primary practice location

405 S 30TH St
Laramie, WY 82070-5143

Mailing address

405 S 30TH St
Laramie, WY 82070-5143
Phone (307) 742-2020

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101111001013 WY Practitioner - Optometry 8325252166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James a Boucher and Sue E Lowe PTRGroup PAC ID 0143202887, 3 clinicians

Practice addresses (Care Compare)

405 S 30TH St
Laramie, WY 82070-5143
Phone (307) 742-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James a Boucher & Sue E Lowe PTR Optometrist CurrentSince Nov 2, 1996 Accepting new patients

Locations

405 S 30th St
Laramie, WY 82070
Phone (307) 742-2020

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1972574424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705143",
            "telephone_number": "307-742-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705143",
            "telephone_number": "307-742-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEET",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "237T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.