Individual
DR. LAURA ANNE POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 SALEM ST, SUITE 7, GROVELAND, MA 01834-1565
(978) 374-8991
Mailing address
939 SALEM ST, SUITE 7, GROVELAND, MA 01834-1565
(978) 374-8991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3365
MA
152WC0802X
Corneal and Contact Management Optometrist
3365
MA
152WP0200X
Pediatric Optometrist
3365
MA
152WV0400X
Vision Therapy Optometrist
3365
MA
152WX0102X
Occupational Vision Optometrist
3365
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353833
—
MA
Enumeration date
01/13/2006
Last updated
12/18/2014
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