Individual
MISS RACHEL AMELIA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2080 MAIN ST, LONGMONT, CO 80501-1916
(303) 651-2020
(303) 776-2460
Mailing address
2829 PRINCE CIR, ERIE, CO 80516-7536
(303) 945-6828
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-2591
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85605590
—
CO
Enumeration date
07/05/2007
Last updated
06/17/2016
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