Organization
POTEAU VISION SOURCE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMATHA KAY HOLT O.D. (PRESIDENT)
(918) 649-0524
Entity
Organization
Contact information
Practice address
2203-B N. BROADWAY, POTEAU, OK 74953
(918) 649-0524
(918) 649-0891
Mailing address
2203-B N. BROADWAY, POTEAU, OK 74953
(918) 649-0524
(918) 649-0891
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2148
OK
Other
Enumeration date
04/26/2007
Last updated
06/17/2008
Update your record
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