Northeastern State University College of Optometry

NPI #1134236862 in Tahlequah, Oklahoma

Provider Information

NPI Number
1134236862
Entity Type
Organization
Organization Name
Northeastern State University College of Optometry
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 25, 2006
Last Updated
Jul 8, 2008

Practice Location

Address
100 S BLISS AVE
ZIP Code
74464-2512
Phone
(918) 458-3160

Authorized Official

Name
DR. GEORGE EDWARD FOSTER, O.D.
Title
DEAN
Phone
(918) 456-5511

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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