DR. ROXANNA THELMA POTTER (O.D.) – Optometrist, NPI 1790797579
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Loading map...
Provider Addresses for DR. ROXANNA THELMA POTTER (O.D.)
8006 N BRIDGE WAY
MAUMEE, OH 435379495
Phone: (419) 705-5143
Type: Mailing
8254, Mayberry Square North, Mayberry Square, Centennial, Sylvania, Lucas County, Ohio, 43560, United States
SYLVANIA, OH 435609457
Phone: (419) 885-5300
Fax: (419) 885-5308
Type: Location
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $954.
Total Amount is formed as General ($954) + Research ($0) + Ownership ($0) = $954.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($255).
Total Amount
$954
General + Research + Ownership
Payments
48
Total payment records
General Amount
$954
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070827000921 | I | Optometry | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 47 | $0 |
| 92083 | Exam of visual field with extended testing | 28 | 24 | $0 |
| 92134 | Imaging of retina | 26 | 21 | $0 |
| 92133 | Imaging of optic nerve | 23 | 21 | $0 |
Insurance plans in this area (ZIP 43537)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | AZ | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.