Organization · Type 2 NPI
Northeastern State University College of Optometry
Eyewear Supplier · Stilwell, OK
NPI number
1043327778
Active
Practice location
Route 2 Box 93
Stilwell, OK 74960
Fax (918) 696-8882
Mailing address
1001 N Grand Ave
Tahlequah, OK 74464-7017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1043327778
Northeastern State University College of Optometry's National Provider Identifier is 1043327778, issued on Aug 25, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Stilwell, OK. The record was last updated on Jul 8, 2008.