DR. ALEXANDRA ELENA POTTER (OD) – Optometrist, NPI 1124649215

DR. ALEXANDRA ELENA POTTER (OD) is a healthcare provider. based in Cleveland, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.006872 (OH). The NPI Number for DR. ALEXANDRA ELENA POTTER (OD) is 1124649215

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA ELENA POTTER (OD)
NPI
1124649215
Phone
(216) 791-3800
Address
10701 EAST BLVD
Enumeration Date
30 April 2020
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306780201
Graduation Year
2015 (11 years ago)
PAC ID
2264835792
Group Practice PAC ID
3577537042
Professional Enrollment ID
I20210722001645
Address ID
OH442569249ME4463XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. ALEXANDRA ELENA POTTER (OD)

  • 10701 EAST BLVD

    CLEVELAND, OH 441061702

    Phone: (216) 791-3800

    Type: Mailing

  • 409 N Court St

    Medina, OH 442561869

    Phone: (330) 725-4680

    Fax: (330) 725-2010

    Type: Location

  • 3706 Rocky River Dr

    Cleveland, OH 441114038

    Phone: (216) 941-3303

    Fax: (216) 671-7447

    Type: Location

  • 7199 Pearl Rd Ste C

    Cleveland, OH 441304970

    Phone: (440) 843-6900

    Fax: (440) 886-7238

    Type: Location

  • 34302 Euclid Ave Unit 3

    Willoughby, OH 440943334

    Phone: (440) 942-3677

    Type: Location

  • 8051 Vesta Ave Ste 2

    Northfield, OH 440672081

    Phone: (330) 468-0585

    Fax: (330) 468-1083

    Type: Location

  • 3510 Manchester Rd

    Coventry Township, OH 443191415

    Phone: (330) 753-2100

    Fax: (330) 644-0187

    Type: Location

  • 946 Pearl Rd

    Brunswick, OH 442122562

    Phone: (330) 273-1010

    Fax: (330) 225-8115

    Type: Location

  • 7001 S EDGERTON RD STE B

    BRECKSVILLE, OH 441414206

    Phone: (405) 261-9744

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $843.

Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($436).

Total Amount

$843

General + Research + Ownership

Payments

12

Total payment records

General Amount

$843

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2021-07-22

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
I20210722001645IOptometryOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes135111$0
92133Imaging of optic nerve4740$0
92083Exam of visual field with extended testing4530$0
92134Imaging of retina3231$0
99212Established patient office or other outpatient visit, 10-19 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 44106)

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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: 3577537042View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P H T H A L M O L O G YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ALEXANDRA ELENA POTTER (OD)?
NPI 1124649215 is assigned to DR. ALEXANDRA ELENA POTTER (OD) under the national enumeration system.
Is DR. ALEXANDRA ELENA POTTER (OD)'s NPI currently valid?
The extract we use shows DR. ALEXANDRA ELENA POTTER (OD) as active.
Can you summarize DR. ALEXANDRA ELENA POTTER (OD)'s specialty in plain language?
Clinically, the directory lists DR. ALEXANDRA ELENA POTTER (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ALEXANDRA ELENA POTTER (OD)?
The page summarizes Cleveland, Ohio for DR. ALEXANDRA ELENA POTTER (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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