TAHLEQUAH FAMILY VISION CLINIC, PLLC
NPI 1033313754
Optometrist in Tahlequah, OK
About Tahlequah Family Vision Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAHLEQUAH FAMILY VISION CLINIC, PLLC (NPI 1033313754), doing business as Tahlequah Family Vision Clinic, is a healthcare organization registered as an optometrist in Tahlequah, Oklahoma and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Molly Gean Tebow, Owner/optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tahlequah Family Vision Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tahlequah Family Vision Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2040126
Tahlequah Family Vision Clinic, PLLC · Tahlequah, OKMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Tahlequah Family Vision Clinic carries, from the Medicare DMEPOS supplier directory.
Tahlequah Family Vision Clinic
DMEPOS supplier · Tahlequah, OKOperated by Tahlequah Family Vision Clinic PLLCAccepts Medicare assignment
Tahlequah Family Vision Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Tahlequah Family Vision Clinic, PLLC's NPI number?
The NPI number for Tahlequah Family Vision Clinic, PLLC is 1033313754. It was assigned to this organization in the NPPES registry on June 14, 2007. The provider is doing business as Tahlequah Family Vision Clinic.
Where is Tahlequah Family Vision Clinic, PLLC located?
Tahlequah Family Vision Clinic, PLLC is located at 681 W Choctaw St, Tahlequah, OK 74464. The listed phone number is (918) 456-2250.
What is Tahlequah Family Vision Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tahlequah Family Vision Clinic, PLLC enrolled in Medicare?
Yes. Tahlequah Family Vision Clinic, PLLC is registered in the Medicare PECOS enrollment system.
When is Tahlequah Family Vision Clinic, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oklahoma, Physician - Optometrist) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tahlequah Family Vision Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Tahlequah Family Vision Clinic, PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tahlequah Family Vision Clinic, PLLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Tahlequah Family Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Tahlequah Family Vision Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2040126) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tahlequah Family Vision Clinic, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Tahlequah Family Vision Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tahlequah Family Vision Clinic, PLLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Tahlequah Family Vision Clinic, Pllc · NPI 1033313754
Optometrist organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since June 14, 2007.
## Identity
- **NPI:** 1033313754 (Entity type: Organization)
- **Enumerated:** June 14, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Tahlequah Family Vision Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Molly Tebow, OWNER/OPTOMETRIST
## Practice location
- **Address:** 681 W CHOCTAW ST, Tahlequah, OK 74464-3711
- **Phone:** (918) 456-2250 · **Fax:** (918) 456-2251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Oklahoma, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033313754) · Data from the CMS NPPES public registry.