POTTER OPTOMETRY, INC. (NPI# 1003088626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003088626 |
| Entity Type | Organization |
| Organization Name | POTTER OPTOMETRY, INC. |
| Other Organization Name | PERSONAL EYECARE |
| Practice Address |
8254 Mayberry Sq N Sylvania OH 43560-9457 |
| Mailing Address |
8006 N Bridge Way Maumee OH 43537-9495 |
| Practice Telephone | 4198855300 |
| Practice Fax Number | 4198855308 |
| Mailing Telephone | 4198855300 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | DR. ROXANNA T POTTER (PRESIDENT) |
| Authorized Official Telephone | 4197055143 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5738/T2652 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2831467 | 05 |
| Other Name | Type Code |
|---|---|
| Personal Eyecare | Doing Business As Name - Organization |
| Personal Eyecare | Former Legal Business Name - Organization |
| Street Address |
8254 MAYBERRY SQ N |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-9457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330635 | Carol L Brown | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560 | 2006-05-09 |
| 1114480134 | Myeyedr Optometry of Ohio, LLC | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2019-04-08 |
| 1013920107 | Carol L. Brown O.d., Inc. | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2006-08-13 |
| 1790797579 | Roxanna Thelma Potter | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760578454 | Rick A Cherry | Optometrist | 6600 Sylvani Ave, Suite 1a, Sylvania, OH 43560-3933 | 2006-10-04 |
| 1952310773 | Larry M. Bloom Od | Optometrist | 5600 Monroe St Ste 102, Sylvania, OH 43560-2731 | 2006-08-08 |
| 1053359463 | Andrea C Prinstein | Optometrist | 5577 Monroe St, Suite J, Sylvania, OH 43560-2549 | 2006-06-04 |
| 1750330635 | Carol L Brown | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560 | 2006-05-09 |
| 1558367599 | Cindy Ann Pezo | Optometrist | 6433 Monroe St, Sylvania, OH 43560-1451 | 2005-06-23 |
| 1114480134 | Myeyedr Optometry of Ohio, LLC | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2019-04-08 |
| 1144400763 | Larry Martin Bloom | Optometrist | 5600 Monroe St, Sylvania, OH 43560 | 2007-11-12 |
| 1528254653 | Franklin Park Vision LLC | Optometrist | 5577 Monroe St, Suite J, Sylvania, OH 43560-2549 | 2007-09-21 |
| 1538379011 | Preston G. Linley | Optometrist | 5700 Monroe St, Suite 211 Promedica Health and Wellness Center, Sylvania, OH 43560 | 2007-05-23 |
| 1013920107 | Carol L. Brown O.d., Inc. | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2006-08-13 |
| Find all providers in SYLVANIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.