Douglas Penisten in Tahlequah - Optometrist
Douglas Penisten - NPI 1487673489
Douglas Penisten is a Optometrist in Tahlequah, Oklahoma. Douglas Penisten practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Douglas Penisten is 1487673489. The last update date is 2008-07-31.
Douglas Penisten's current location address is 1001 N Grand Ave, Tahlequah, Oklahoma. You can contact this provider via phone number 9184582109 and fax number 9184582310. The mailing address for Douglas Penisten is 1001 N Grand Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Penisten |
|---|---|
| Address | 1001 N Grand Ave, Tahlequah, Oklahoma |
| Phone Number | 9184582109 |
| Fax Number | 9184582310 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1487673489 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 1001 N Grand Ave |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744647017 |
| Phone Number | 9184582109 |
| Fax Number | 9184582310 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2078 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100760370A | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas Penisten?
The Douglas Penisten has been issued the NPI (National Provider Identifier) 1487673489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Douglas Penisten located?
The Douglas Penisten is located at 1001 N Grand Ave, Tahlequah, OK 744647017.
What is the area of specialization for Douglas Penisten, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas Penisten is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487673489 to Douglas Penisten?
The Centers for Medicare & Medicaid Services assigned the 1487673489 to Douglas Penisten on 2006-07-19.
When was the Douglas Penisten's information last updated?
The Douglas Penisten's information was last updated on 2008-07-31.
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