1437106333 NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
Optometrist
Active
Basic Information
- Organization Name
- NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
- Enumeration Date
- May 27, 2006
- Last Update
- August 30, 2010
- Authorized Official
- DR. DOUGLAS PENISTEN O.D.
DEAN
Phone: (918) 456-5511
Practice Location
- Address
- 1001 N GRAND AVE
TAHLEQUAH, OK 744647017 - Phone
- (918) 458-2109
- Fax
- (918) 458-2310
Mailing Address
- Address
- 1001 N GRAND AVE
TAHLEQUAH, OK 744647017 - Phone
- (918) 458-2109
- Fax
- (918) 458-2310
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Corneal and Contact Management Optometrist Corneal and Contact Management | 152WC0802X | Optometrist | N/A | N/A | No |
| Low Vision Rehabilitation Optometrist Low Vision Rehabilitation | 152WL0500X | Optometrist | N/A | N/A | No |
| Pediatric Optometrist Pediatrics | 152WP0200X | Optometrist | N/A | N/A | No |
| Vision Therapy Optometrist Vision Therapy | 152WV0400X | Optometrist | N/A | N/A | No |
| Occupational Vision Optometrist Occupational Vision | 152WX0102X | Optometrist | N/A | N/A | No |
| Sports Vision Optometrist Sports Vision | 152WS0006X | Optometrist | N/A | N/A | No |
| Ophthalmology Physician | 207W00000X | Ophthalmology | N/A | N/A | No |
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | No |
| Optometrist | 152W00000X | Optometrist | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100732440A | 05 | OK | N/A |
Frequently Asked Questions
What is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's NPI number?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's NPI number is 1437106333.
Which doctor has NPI number 1437106333?
The doctor with NPI number 1437106333 is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY.
What is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's practice address?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's practice address is 1001 N GRAND AVE, TAHLEQUAH, OK, 744647017.
Which doctor practices at 1001 N GRAND AVE, TAHLEQUAH, OK, 744647017?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY practices at 1001 N GRAND AVE, TAHLEQUAH, OK, 744647017.
What is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's phone number?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's phone number is (918) 458-2109.
Who is (918) 458-2109?
(918) 458-2109 is the phone number for NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY.
What is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's specialty?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY's specialty is Optometrist.
What type of doctor is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY is a Optometrist.
Is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY a Optometrist?
Yes, NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY is a Optometrist.
Is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY still practicing?
Yes, NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY is currently practicing.
Is NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY accepting new patients?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY may be accepting new patients. Please call their office at (918) 458-2109 to inquire about availability.
Is NPI 1437106333 still active?
Yes, NPI 1437106333 is currently active.
Where does NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY practice?
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY practices in TAHLEQUAH, OK.