Individual
DR. WALTER POTAZNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
584A HIGH ST, DEDHAM, MA 02026-1807
(781) 471-4338
(781) 471-4339
Mailing address
584 A HIGH STREET, DEDHAM, MA 02026-1807
(781) 471-4339
(781) 471-4339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA 2567T
MA
152WP0200X
Pediatric Optometrist
MA 2567T
MA
152WS0006X
Sports Vision Optometrist
MA 2567T
MA
152WV0400X
Vision Therapy Optometrist
MA 2567T
MA
Other
Enumeration date
11/09/2006
Last updated
03/02/2022
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