Individual
DR. TAMATHA KAY HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2203 N BROADWAY ST, SUITE B, POTEAU, OK 74953-2007
(918) 649-0524
(918) 649-0891
Mailing address
1104 DEWEY AVE, SUITE B, POTEAU, OK 74953-4412
(918) 649-0524
(918) 649-0891
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2148
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100759870A
—
OK
Enumeration date
12/08/2006
Last updated
10/17/2016
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