Personal Eyecare

LBN: Potter Optometry, Inc.
Personal Eyecare is an health care organization with primary practice located at 8254 Mayberry Sq N , Sylvania OH 43560-9457. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Potter Optometry, Inc. can be contacted via phone (419) 885-5300, or through Potter, Roxanna T via phone (419) 705-5143.

Contact Information

Primary practice address
8254 Mayberry Sq N Sylvania OH 43560-9457
Phone: (419) 885-5300
Fax: (419) 885-5308
Website:
Map and Directions
Authorized official contact:
Name: Potter, Roxanna T Doctor of Optometry (OD)
Phone: (419) 705-5143

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5738/T2652 Ohio

Profile Details

NPI number 1003088626
LBN Legal business name Potter Optometry, Inc.
DBA Doing business as Personal Eyecare
Authorized official Potter, Roxanna T Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Dec 27th, 2019 - about 5 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 1003088626 NPPES
Ohio MEDICAID 2831467

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