W MARK POTAMPA


Address: 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204
Phone: 4258216655

W MARK POTAMPA (NPI# 1922085646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922085646
Entity Type Individual
Full Name W MARK POTAMPA
Other Name WHITTON M POTAMPA
Credential M.D.
Practice Address 11919 Ne 128th St
Suite A
Kirkland
WA 98034-7204
Mailing Address 1101 Madison St
Suite 600
Seattle
WA 98104-1306
Practice Telephone 4258216655
Practice Fax Number 4258218836
Mailing Telephone 2062152004
Mailing Fax Number 2062152055
Enumeration Date 2005-12-22
Last Update Date 2008-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology MD00023322 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & INDUSTRIES 0071123 01
RAILROAD MEDICARE 180021811 01
REGENCE HEALTHCARE PO3997 01
WA 8307290 05

Office Location

Street Address 11919 NE 128TH ST
SUITE A
City KIRKLAND
State WA
Zip Code 98034-7204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669553251 Eastside Womens Clinic Clinic/Center 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 2006-10-18
1598845018 Suzan Jeanne Watanabe Nurse Practitioner 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 2006-10-17
1154399319 Eye Associates Northwest, PC Eyewear Supplier (Equipment, not the service) 11919 Ne 128th St, Ste A, Kirkland, WA 98034-7204 2006-03-14
1558349076 Dennis D. Waltman Ophthalmology 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 2006-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578116596 Rachel Bowers Behavior Technician 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 2019-07-18
1740841048 Kristina Louise Inghram Behavior Technician 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 2019-06-26
1053978064 Matthew A. Bagnulo, Dds, Ps Dentist 11830 Ne 128th St., #202, Kirkland, WA 98034 2019-05-24
1629568928 Stephanie Michalko Optometrist 11800 Ne 128th St Ste 110, Kirkland, WA 98034 2018-05-14
1952800013 Heath Family Counseling LLC Marriage & Family Therapist 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 2018-02-05
1891202834 Barbara Josephine Gorham Counselor 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 2017-12-29
1548782915 Eleanor Hollis Wall Counselor 14340 102nd Ave Ne, Kirkland, WA 98034 2017-07-07
1457885212 Peter Schoonmaker Hospitalist 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 2017-04-18
1780124370 Rebecca Managan Advanced Practice Midwife 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 2017-03-01
1669821104 Winter Gonzalez Counselor 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 2016-06-06
Find all providers in zip 98034

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992199970 Garrison Patrick Wier Ophthalmology 625 4th Ave Ste 301, Kirkland, WA 98033 2015-03-26
1588954119 Zachary Paul Joos Ophthalmology 16 Central Way, Kirkland, WA 98033-6115 2011-04-16
1023043445 Aesthetic Eye Associates, Ps Ophthalmology 625 4th Ave, Suite 301, Kirkland, WA 98033-9028 2006-07-12
1437141751 Allen M. Rossman IIi Ophthalmology 13122 120th Ave Ne, Kirkland, WA 98034-3014 2005-08-22
1093134397 Sean Batson Ophthalmology 134 Central Way, Kirkland, WA 98033 2014-04-15
1679723001 Children's Eye Care, LLC. Ophthalmology 11800 Ne 128th St, Kirkland, WA 98034-7208 2008-09-22
1548319791 Loren J Vesselle Ophthalmology 13014 120th Ave Ne, Kirkland, WA 98034-3015 2007-01-09
1588763494 Washington Pacific Eye Associates Inc. Ophthalmology 134 Central Way, Kirkland, WA 98033-6106 2006-09-21
1730293119 Krista Annette Heidar Ophthalmology 11800 Ne 128th St, Suite 430, Kirkland, WA 98034-7208 2006-08-19
1164443719 Bryan S Sires Ophthalmology 625 4th Ave, Ste 301, Kirkland, WA 98033-9028 2006-07-21
Find all providers in KIRKLAND

Competitor

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City KIRKLAND
Zip Code 98034

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Dataset Information

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.

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