Organization · Type 2 NPI

Northeastern State University College of Optoemtry

Eyewear Supplier · Muskogee, OK

NPI number 1306013255 Active

Practice location

1001 S 41st St E
Muskogee, OK 74403-6253

Fax (918) 458-2310

Mailing address

1001 N Grand Ave
Tahlequah, OK 74464-7017

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1306013255

Northeastern State University College of Optoemtry's National Provider Identifier is 1306013255, issued on May 9, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Muskogee, OK. The record was last updated on May 9, 2008.