Northeastern State University College Of Optometry

  • 1437106333 NPI Number
  • |
  • Actived: 14 years ago
  • |
According to our database, the NPI number for Northeastern State University College Of Optometry is 1437106333 and activated since 14 years ago. Northeastern State University College Of Optometry is an Organization provider specializes in Eyewear Supplier. The provider information was last updated on 08/30/2010.

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Overview of Northeastern State University College Of Optometry

  • NPI number: 1457978207
  • Provider type: Organization
  • 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: 152W00000X
  • Specialty: Optometrist
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

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

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • 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.