Northeastern State University College of Optometry

NPI #1629182167 in Sallisaw, Oklahoma

Provider Information

NPI Number
1629182167
Entity Type
Organization
Organization Name
Northeastern State University College of Optometry
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 19, 2006
Last Updated
Jul 8, 2008

Practice Location

Address
301 J T STITES BLVD
ZIP Code
74955-9302
Phone
(918) 774-1480

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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