DALE A POTTER (O.D.) – Optometrist, NPI 1245218767

DALE A POTTER (O.D.) is a healthcare provider. based in Decatur, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S456TA074 (AL). The NPI Number for DALE A POTTER (O.D.) is 1245218767

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DALE A POTTER (O.D.)
NPI
1245218767
Phone
(256) 353-2392
Address
2349 DANVILLE RD SW
Enumeration Date
4 January 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2563532392
Graduation Year
1980 (46 years ago)
PAC ID
4789617002
Group Practice PAC ID
0749254001
Professional Enrollment ID
I20050915001189
Address ID
AL356034285DE2349XSWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

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Provider Addresses for DALE A POTTER (O.D.)

  • Danville Road Southwest, Austinville, Decatur, Morgan County, Alabama, 35601, United States

    SUITE 410

    DECATUR, AL 356034284

    Phone: (256) 353-2392

    Fax: (256) 353-8489

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,310.

Total Amount is formed as General ($1,310) + Research ($0) + Ownership ($0) = $1,310.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: CooperVision Inc. ($355).

Total Amount

$1,310

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050915001189IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens2,04318$0
66821Removal of recurring cataract in lens capsule using a laser1,54816$0
92250Photography of the retina263229$0
92014Established patient complete exam of visual system223219$0
92012Established patient problem focused exam of visual system19692$0
View full utilization report →

Insurance plans in this area (ZIP 35603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749254001View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
-MO
O P T O M E T R YAL
O P T O M E T R YIL
O P T O M E T R YAL
-AL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the standard ID for DALE A POTTER (O.D.) in the U.S.?
In the U.S., DALE A POTTER (O.D.) is identified by NPI 1245218767.
Quick check: is DALE A POTTER (O.D.) active?
Public NPPES data shows DALE A POTTER (O.D.) with an active NPI status right now.
What services align with DALE A POTTER (O.D.)'s listing?
DALE A POTTER (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is DALE A POTTER (O.D.) tied to Decatur, Alabama?
If you are local to Decatur, Alabama, DALE A POTTER (O.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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