NPI 1376036186

David Jaeson Potter, OD

Practitioner Optometrist Midvale, UT

Practice location

Address: 20 W 7200 S, Midvale, UT 84047-3723
Phone: (801) 561-1300
Mailing address: 10464 S Jordan Gtwy Unit 477, South Jordan, UT 84095-5409

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 9068966-9934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1376036186
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2018
Record last updated: 7 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.