POTEAU VISION SOURCE, PC
NPI 1003036716
Eyewear Supplier in Poteau, OK
About Poteau Vision Source, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POTEAU VISION SOURCE, PC (NPI 1003036716) is a healthcare organization registered as an eyewear supplier in Poteau, Oklahoma and active in the NPI registry since April 2007. The organization lists Tamatha Kay Holt, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Poteau Vision Source, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Poteau Vision Source, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Poteau Vision Source, PC's NPI number?
The NPI number for Poteau Vision Source, PC is 1003036716. It was assigned to this organization in the NPPES registry on April 26, 2007.
Where is Poteau Vision Source, PC located?
Poteau Vision Source, PC is located at 2203-B N. Broadway, Poteau, OK 74953. The listed phone number is (918) 649-0524.
What is Poteau Vision Source, PC's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Poteau Vision Source, PC enrolled in Medicare?
Yes. Poteau Vision Source, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Poteau Vision Source, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Poteau Vision Source, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Poteau Vision Source, PC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Poteau Vision Source, Pc · NPI 1003036716
Eyewear Supplier organization in Poteau, Oklahoma. Organization record, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1003036716 (Entity type: Organization)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Tamatha Holt, PRESIDENT
## Practice location
- **Address:** 2203-B N. BROADWAY, Poteau, OK 74953
- **Phone:** (918) 649-0524 · **Fax:** (918) 649-0891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2008
- **Other identifiers:** Medicare NSC 4366820001
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Source: [NPI Profile](https://npiprofile.com/npi/1003036716) · Data from the CMS NPPES public registry.