Tahlequah Family Vision Clinic, PLLC
NPI 1033313754ActiveOrganization· Optometrist· Tahlequah, OK
Optometrist in Tahlequah, Oklahoma, registered in NPPES in June 2007. The authorized official on file is Molly Gean Tebow, OD, Owner/Optometrist. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1033313754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Oct 30, 2026 |
| Certified by provider | Oct 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OK 2111 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (OK); Part B Supplier - Clinic/Group Practice (OK) |
|---|
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