MEDICARE: VISTA DME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1023802014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA DME LLC

Provider Business Mailing Address
First Line	:	300 N 5TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-4512
Country	:	US
Telephone Number	:	580-762-1291
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 N 5TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-4512
Country	:	US
Telephone Number	:	580-762-1291
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. SCOTT T KIRKPATRICK
Credential	:
Telephone Number	:	918-808-7725

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	08/30/2025

Similar Medicare Providers

1124150305 — DR. SCOTT THOMAS KIRKPATRICK SR. DC
Practice Location Address:

300 N 5TH ST
PONCA CITY, OK
74601-4512

Practice Phone: 580-762-1291
Practice Fax: 580-762-0379

1639538184 — CHIROPRACTIC ASSOCIATES
Practice Location Address:

300 N 5TH ST
PONCA CITY, OK
74601-4512

Practice Phone: 580-762-3818
Practice Fax:

1598111437 — CROAS1 LLC
Practice Location Address:

300 N 5TH ST
PONCA CITY, OK
74601-4512

Practice Phone: 580-762-1291
Practice Fax:

1962145441 — CHIROPRACTIC ASSOCIATES 300, LLC
Practice Location Address:

300 N 5TH ST
PONCA CITY, OK
74601-4512

Practice Phone: 580-762-1291
Practice Fax: 580-762-1379

1003602723 — MED EQUIP DME LLC
Practice Location Address:

300 N 5TH ST STE A
PONCA CITY, OK
74601-4512

Practice Phone: 580-762-1291
Practice Fax:

1265389886 — SARAH HILL LLC
Practice Location Address:

4544 HIRTH HILL RD E
GROVE CITY, OH
43123-4512

Practice Phone: 740-816-7466
Practice Fax:

Directions to “VISTA DME LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.