TAHLEQUAH FAMILY VISION CLINIC, PLLC
NPI 1033313754
Optometrist in Tahlequah, OK

Active since June 14, 2007CLIA 37D2040126 · Waiver
681 W CHOCTAW ST, TAHLEQUAH, OK 74464(918) 456-2250(918) 456-2251 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2025, Nov 15, 2024, Jun 9, 2023 and 1 more (4 updates tracked since 2020).

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

NPI1033313754
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTAHLEQUAH FAMILY VISION CLINIC, PLLC
Location Address681 W CHOCTAW STTahlequah, OK 74464-3711
Mailing Address681 W Choctaw StTahlequah, OK 74464-3711 · (918) 456-2250 · Fax (918) 456-2251
Fax(918) 456-2251
Organization SubpartNo
Authorized OfficialMolly Gean TebowOwner/optometrist · (918) 456-2250
Enumeration DateJune 14, 2007
Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1033313754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · OK 2111
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
681 W CHOCTAW ST, Tahlequah, OK 74464

Other Names 1

Doing Business AsTahlequah Family Vision Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, OK
Active · expires Apr 23, 2028
CLIA Number37D2040126
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorMolly Tebow
Laboratory Phone(918) 456-2250
Laboratory LocationTahlequah Family Vision Clinic, PLLC1640 W Keetoowah St, Tahlequah, OK 74464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical 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 PLLC

Accepts 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.

PTAN (Medicare Supplier Number)20523701
Medicare Participant SinceDecember 27, 2011
Supplier Location681 W Choctaw StTahlequah, OK 74464
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
681 W CHOCTAW ST
TAHLEQUAH, OK 74464
Optometrist
681 W CHOCTAW ST
TAHLEQUAH, OK 74464

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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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 8 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.