Shelby Marie Potkin, MD
Ophthalmology in Bemidji, MN. Individual provider (NPI-1).
NPI number1184184277
StatusActive
Last updated in NPPESMay 6, 2026
Details
- NPI
- 1184184277
- Entity type
- Individual (NPI-1)
- Name
- Shelby Marie Potkin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2019
- Certification date
- May 6, 2026
- Last updated
- May 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | A206239 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207W00000X | Ophthalmology | 74023 | MN |
Practice location
1611 Anne St NwBemidji, MN 56601-5114
Phone 218-333-2020
Mailing address
2456 248th StLomita, CA 90717-1515
Phone 831-332-7168 · Fax 562-206-2507
Other practice locations
400 W Mineral King Ave
Visalia, CA 93291-6237
Visalia, CA 93291-6237
Phone 831-332-7168
3440 Lomita Blvd Ste 100
Torrance, CA 90505-4810
Torrance, CA 90505-4810
Phone 562-317-3893 · Fax 562-206-2507
8616 La Tijera Blvd Ste 404
Los Angeles, CA 90045-3950
Los Angeles, CA 90045-3950
Phone 310-893-5979 · Fax 310-649-5290
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