Northeastern State University College of Optometry

NPI #1790899219 in Jay, Oklahoma

Provider Information

NPI Number
1790899219
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
1015 WASHBOURNE
City
Jay
ZIP Code
74346
Phone
(918) 253-4271

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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