Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. J. ALLEN POTTER, O.D.
Active Sole ProprietorDR. J. ALLEN POTTER, O.D. is a Optometrist healthcare provider located in WASHINGTON, Illinois. NPI 1467454496 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WASHINGTON, IL
Registration Details
- NPI Number
- 1467454496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (20.828311985448 yrs)
- Last Updated
- Mar 3, 2009
- License
-
046-006242 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
93 EASTGATE DRWASHINGTON, IL, 615719271Browse IL providers · Browse ZIP 61571
- Phone
- 3096982020
- Fax
- 3096980368
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WASHINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TODD E FUNK | O.D., F.A.A.O. | 1013914068 |
| DR. MARK D HAHN | O.D. | 1528055969 |
| DR. JENNIFER M WILSON | OD | 1942551619 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.