Organization Name: | DANIEL POTH, O.D. AND ASSOCIATES, P.C. |
NPI Number: | 1457434961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN POTH (OWNER) |
Mailing Address: | 21031 Triple Seven Road Suite 170 Sterling |
State: | VA US |
Postal Code: | 20165 |
Phone Number: | 7034441462 |
Fax Number: | 7034445627 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |