NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOEMTRY NPI 1306013255

NPI Information

NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOEMTRY is an eyewear supplier in Muskogee, OK. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOEMTRY NPI is 1306013255. The provider is registered as an organization entity type.

The provider's business location address is:

1001 S 41ST ST E
MUSKOGEE, OK
ZIP 74403-253
Phone: (918) 458-2109
Fax: (918) 458-2310

The provider's authorized official is George F Foster .
The authorized official title is Dean Of College and has the following contact phone number (918) 458-4000.

The CLIA number assigned to this NPI record is 37D0475185 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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