OrganizationActiveAccepts Medicare
Poteau Vision Source, PC
NPI 1003036716 · Eyewear Supplier · Poteau, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1003036716
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Tamatha Holt, President(918) 649-0524
- License
- 2148 (OK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2203-B N. Broadway
Poteau, OK 74953
Phone: (918) 649-0524
Fax: (918) 649-0891
Street-level locationGet directions
Mailing address
2203-B N. Broadway
Poteau, OK 74953
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.