Organization · Type 2 NPI
Poteau Vision Source, PC
Eyewear Supplier · Poteau, OK
NPI number
1003036716
Active
Practice location
2203-B N. Broadway
Poteau, OK 74953
Fax (918) 649-0891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 2148 (OK) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1003036716
Poteau Vision Source, PC's National Provider Identifier is 1003036716, issued on Apr 26, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Poteau, OK. The record was last updated on Jun 17, 2008.