Tamatha Kay Holt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2148 Issued in OK

Practice address

2203 N Broadway St
Suite B
Poteau, OK 74953-2007

Phone

(918) 649-0524

Fax

(918) 649-0891

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poteau Vision Source, PC

  • Eyewear Supplier
  • Poteau, OK
  • NPI 1003036716
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1487713822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 DEWEY AVE",
            "address_2": "SUITE B",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534412",
            "telephone_number": "918-649-0524",
            "fax_number": "918-649-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N BROADWAY ST",
            "address_2": "SUITE B",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532007",
            "telephone_number": "918-649-0524",
            "fax_number": "918-649-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "TAMATHA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Hobday, RPT
• David Kent Hoegh
• Hoffman'S Aprn-CNP Medical Clinic
• Julie Ann Holland, BHRS
• Jennifer L Holleman, LPC
• Hometown Drug Company LLC
• Hometown Drug Company LLC
• Hometown Drug Company LLC
• Doug E Horne, PHARMD
• Theresa Horton, PH.D.

• Optometrist in Poteau, OK
• Providers in Poteau, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.