Northeastern State University College of Optometry

NPI #1437106333 in Tahlequah, Oklahoma

Provider Information

NPI Number
1437106333
Entity Type
Organization
Organization Name
Northeastern State University College of Optometry
Primary Specialty
Optometrist
Enumeration Date
May 27, 2006
Last Updated
Aug 30, 2010

Practice Location

Address
1001 N GRAND AVE
ZIP Code
74464-7017
Phone
(918) 458-2109

Authorized Official

Name
DR. DOUGLAS PENISTEN, O.D.
Title
DEAN
Phone
(918) 456-5511

Specialties & Taxonomy Codes

Specialty
Optometrist - Corneal and Contact ManagementCorneal and Contact Management
Optometrist - Low Vision RehabilitationLow Vision Rehabilitation
Optometrist - PediatricsPediatrics
Optometrist - Vision TherapyVision Therapy
Optometrist - Occupational VisionOccupational Vision
Optometrist - Sports VisionSports Vision
Ophthalmology
Eyewear Supplier
Optometrist

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