Organization · Type 2 NPI
Northeastern State University College of Optometry
Eyewear Supplier · Jay, OK
NPI number
1790899219
Active
Practice location
1015 Washbourne
Jay, OK 74346
Fax (918) 253-3287
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 1790899219
Northeastern State University College of Optometry's National Provider Identifier is 1790899219, issued on Aug 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jay, OK. The record was last updated on Jul 8, 2008.