| NPI | 1437106333 |
|---|---|
| Other Name | NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PENISTEN Dean 918-456-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WL0500X Optometrist Low Vision Rehabilitation | |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| 207W00000X Ophthalmology | |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-08-30 |