Individual
DR. SCOTT ELLIS POTTER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19 NW BARRY RD, KANSAS CITY, MO 64155-2728
(816) 468-4680
(816) 468-6444
Mailing address
3509 NW 85TH ST, KANSAS CITY, MO 64154-1157
(816) 436-4786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO-T-2750
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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