DR. J. Allen Potter, O.D.

NPI #1467454496 in Washington, Illinois

Provider Information

NPI Number: 1467454496
Entity Type: Individual
Name: DR. J. Allen Potter, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 10, 2005
Last Updated: Mar 3, 2009

Practice Location

Address: 93 EASTGATE DR
City: Washington
State: Illinois
ZIP Code: 61571-9271
Phone: (309) 698-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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