Northeastern State University College Of Optometry in Tahlequah - Eyewear Supplier
Northeastern State University College Of Optometry - NPI 1437106333
Northeastern State University College Of Optometry is a Eyewear Supplier in Tahlequah, Oklahoma. Northeastern State University College Of Optometry practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Northeastern State University College Of Optometry is 1437106333. The last update date is 2010-08-30.
Northeastern State University College Of Optometry'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 Northeastern State University College Of Optometry is 1001 N Grand Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeastern State University College Of Optometry |
|---|---|
| Address | 1001 N Grand Ave, Tahlequah, Oklahoma |
| Phone Number | 9184582109 |
| Fax Number | 9184582310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEAN |
|---|---|
| Authorized Official Name | Penisten Douglas |
| Credentials | O.D. |
| Telephone Number | 9184565511 |
NPI Number Detail
| NPI Number | 1437106333 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2010-08-30 |
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 | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100732440A | OK | -- |
Post Comment/ Review Below
What is the Northeastern State University College Of Optometry's 1437106333?
The Northeastern State University College Of Optometry's NPI (National Provider Identifier) Number is 1437106333. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Northeastern State University College Of Optometry is geographically located?
The Northeastern State University College Of Optometry is physically situated at the following location: 1001 N Grand Ave, Tahlequah, OK, 744647017.
What is the Northeastern State University College Of Optometry's specialty and taxonomy code?
The Northeastern State University College Of Optometry's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437106333 to Northeastern State University College Of Optometry?
The Centers for Medicare & Medicaid Services originally issued the 1437106333 to Northeastern State University College Of Optometry on 2006-05-27.
When was the information regarding Northeastern State University College Of Optometry most recently updated?
The details pertaining to the Northeastern State University College Of Optometry, including its address, specialty, and other relevant information, were last refreshed on 2010-08-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY