POTEAU VISION SOURCE, PC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, OK)
POTEAU VISION SOURCE, PC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, OK) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: POTEAU VISION SOURCE, PC; Type: Organization; NPI: 1003036716.
| Name | POTEAU VISION SOURCE, PC |
|---|---|
| Type | Organization |
| NPI | 1003036716 |
| Provider type | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| State | OK |
| Enrollment ID | O20120215000920 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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