POTEAU VISION SOURCE, PC; NPI #1003036716

Contact Information

POTEAU VISION SOURCE, PC

2203-B N. BROADWAY
POTEAU, OK 74953

Phone: 918-649-0524
Fax: 918-649-0891
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for POTEAU VISION SOURCE, PC

NPI Number 1003036716

LBN Legal business name POTEAU VISION SOURCE, PC

Authorized official TAMATHA HOLT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/26/2007

Last updated 06/17/2008 - About 18 years ago

Identifiers

License #

2148

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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POTEAU VISION SOURCE, PC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for POTEAU VISION SOURCE, PC

Reviews for POTEAU VISION SOURCE, PC