Individual
DALE A POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2349 DANVILLE RD SW, SUITE 410, DECATUR, AL 35603-4284
(256) 353-2392
(256) 353-8489
Mailing address
2349 DANVILLE RD SW, SUITE 410, DECATUR, AL 35603-4284
(256) 353-2392
(256) 353-8489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S456TA074
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058307
—
AL
01
—
051044598
BLUECROSSBLUESHIELD
AL
Enumeration date
01/04/2006
Last updated
03/07/2023
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