NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY

TAHLEQUAH, OK
NPI1437106333
Other NameNORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY
Entity TypeOrganization
Authorized ContactDOUGLAS PENISTEN
Dean
918-456-5511
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
152WL0500X Optometrist, Low Vision Rehabilitation
152WP0200X Optometrist, Pediatrics
152WV0400X Optometrist, Vision Therapy
152WX0102X Optometrist, Occupational Vision
152WS0006X Optometrist, Sports Vision
207W00000X Ophthalmology
332H00000X Eyewear Supplier (Equipment, not the service)
Enumeration Date2006-05-27
Last Update Date2010-08-30
Business Address
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-458-2109
Mailing Address
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-458-2109