Northeastern State University College Of Optometry

  • 1437106333 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Northeastern State University College Of Optometry is 1437106333 and actived since Saturday, May 27 2006. Northeastern State University College Of Optometry is an Organization provider specializes in Eyewear Supplier. Provider information was last updated on 08/30/2010.

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Overview of Northeastern State University College Of Optometry

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Eyewear Supplier
  • Active since: 05/27/2006
  • Last updated: 08/30/2010

Primary Scrop of Practice

  • Taxonomy Code: 332H00000X
  • Specialty: Eyewear Supplier
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1001 N Grand Ave
    Tahlequah, OK 74464
  • Phone: 918-458-2109
  • Fax: 918-458-2310

Provider Practice Location

  • Address: 1001 N Grand Ave
    Tahlequah, OK 74464
  • Phone: 918-458-2109
  • Fax: 918-458-2310

Authorized Official

  • Name: DR. Douglas Penisten O.D.
  • Position/Title: Dean
  • Telephone Number: 918-456-5511

Scope of Practice

  • Taxonomy Code: 332H00000X
  • Specialty: Eyewear Supplier
  • License Number:
  • License State:
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 100732440A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Northeastern State University College Of Optometry?
  • A: The npi number for Northeastern State University College Of Optometry is 1437106333.
  • Q: What are Northeastern State University College Of Optometry's specialties?
  • A: Northeastern State University College Of Optometry's specialties are Eyewear Supplier and different specialities.
  • Q: Where is Northeastern State University College Of Optometry business practice location?
  • A: Northeastern State University College Of Optometry business practice location is 1001 N Grand Ave, Tahlequah, OK 74464.
  • Q: How to contact Northeastern State University College Of Optometry?
  • A: You can contact Northeastern State University College Of Optometry via 918-458-2109.
  • Q: What is the authorized official for Northeastern State University College Of Optometry?
  • A: The authorized office name is DR. Douglas Penisten O.D. with position/title is Dean and you can reach the authorized official via phone number 9184565511.