DALE A POTTER (NPI# 1245218767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245218767 |
| Entity Type | Individual |
| Full Name | DALE A POTTER |
| Credential | O.D. |
| Practice Address |
2349 Danville Rd Sw Suite 410 Decatur AL 35603-4284 |
| Practice Telephone | 2563532392 |
| Practice Fax Number | 2563538489 |
| Mailing Telephone | 2563532392 |
| Mailing Fax Number | 2563538489 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S456TA074 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000058307 | 05 | |
| AL | BLUECROSSBLUESHIELD | 051044598 | 01 |
| DEA NUMBER | MP0761331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568649036 | Dale James Potter | Social Worker | 6379 Dixie Hwy, Bridgeport, MI 48722-9566 | 2008-01-28 |
| 1093864019 | Dale Potter | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27710-0001 | 2007-01-09 |
| 1386606929 | Dale Potter | Dentist | Route 301 North B Street, Us Indian Health Services, Zuni, NM 87327-0467 | 2006-04-06 |
| Street Address |
2349 DANVILLE RD SW SUITE 410 |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992168827 | Healthsource of Decatur | Chiropractor | 2349 Danville Rd Sw, Suite 210, Decatur, AL 35603-4284 | 2016-03-29 |
| 1477934057 | William Lee Thibodeaux | Optometrist | 2349 Danville Rd Sw, Suite 410, Decatur, AL 35603-4284 | 2015-06-09 |
| 1841622891 | Alex James Waldeck | Chiropractor | 2349 Danville Rd Sw, 210, Decatur, AL 35603-4284 | 2013-08-01 |
| 1235364316 | Hayes Eye Care LLC | Optometrist | 2349 Danville Rd Sw, Suite 410, Decatur, AL 35603-4284 | 2009-05-19 |
| 1134376619 | Eyecare Associates, Inc | Optometrist | 2349 Danville Rd Sw, Suite 410, Decatur, AL 35603-4284 | 2008-08-26 |
| 1144341256 | Thomas Glen Smith II | Dentist | 2349 Danville Rd Sw, Suite 130, Decatur, AL 35603-4284 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| 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 |
|---|---|---|---|---|
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1902433691 | Decatur Eye Care | Optometrist | 321 W Hill St Ste 6, Decatur, GA 30030-4362 | 2020-03-24 |
| 1114468089 | T&t Eyecare, LLC | Optometrist | 2570 Blackmon Dr., Suite 360, Decatur, GA 30033 | 2017-03-13 |
| 1487952503 | Michael A. Harshman P.C. | Optometrist | 815 S 13th St, Decatur, IN 46733-1803 | 2011-03-14 |
| 1962736660 | Johnny H Lott Jr. | Optometrist | 2301 Point Mallard Dr Se, Decatur, AL 35601-6741 | 2009-09-28 |
| 1033371729 | Jonathan R Bradley | Optometrist | 4837 E Rt 36, Central Illinois Vision Center, Decatur, IL 62521 | 2008-06-25 |
| 1649482274 | Keith F Fishe | Optometrist | 3580 Memorial Dr, Decatur, GA 30032-2723 | 2007-05-04 |
| 1962524033 | Asfaw Kindeya Natu | Optometrist | 2050 Lawrenceville Hwy Ste D50, Decatur, GA 30033-4316 | 2007-04-06 |
| 1821122060 | Shama Jitendra Patel | Optometrist | 2851 Candler Rd, Suite 100, Decatur, GA 30034-1412 | 2007-03-16 |
| 1306977103 | Marc Vision Care, Ltd. | Optometrist | 2705 N Water St Ste C, Decatur, IL 62526-6502 | 2007-03-07 |
| Find all providers in DECATUR | ||||
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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.