Individual
DR. AUSTIN DAVID POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5953 W BROADWAY, MC CORDSVILLE, IN 46055-9355
(317) 747-9263
(317) 747-9271
Mailing address
3632 S CEDAR CREEK LN, NEW PALESTINE, IN 46163-8719
(317) 753-8852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003358A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502302
ANTHEM
IN
Enumeration date
07/27/2006
Last updated
05/08/2026
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