NPI 1003036716

Poteau Vision Source, PC

Organisation Eyewear Supplier Poteau, OK

Practice location

Address: 2203-B N. Broadway, Poteau, OK 74953
Phone: (918) 649-0524
Fax: (918) 649-0891

Authorised official

Name: Tamatha Kay Holt
Title: President
Phone: (918) 649-0524

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 2148 (OK)

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1003036716
Entity type: Organization
NPI issued: 26 Apr 2007
Record last updated: 17 Jun 2008

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.