Potter Family Eye Care

LBN: Potter Family Eye Care, Llc
Potter Family Eye Care is an health care organization with primary practice located at 5953 W Broadway , Mc Cordsville IN 46055-9355. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Potter Family Eye Care, Llc can be contacted via phone (317) 747-9263, or through Potter, Austin via phone (317) 747-9263.

Contact Information

Primary practice address
5953 W Broadway Mc Cordsville IN 46055-9355
Phone: (317) 747-9263
Fax: (317) 747-9271
Website:
Map and Directions
Authorized official contact:
Name: Potter, Austin Doctor of Optometry (OD)
Phone: (317) 747-9263

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003358A Indiana
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 18003358A Indiana

Profile Details

NPI number 1801198510
LBN Legal business name Potter Family Eye Care, Llc
DBA Doing business as Potter Family Eye Care
Authorized official Potter, Austin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2010
Last updated Apr 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801198510 NPPES
Indiana Other 6592970001 MEDICARE DMEPOS PTAN
Indiana Other M100047360 MEDICARE DMEPOS PTAN

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