Northeastern State University College Of Optometry is a health care provider in Tahlequah, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1015 Washbourne, Jay, OK 74346, US|
|Practice Location Phone||918-253-4271|
|Practice Location Fax||918-253-3287|
|Legal Business Name||NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY|
|Enumeration Date ?||Aug 19, 2006|
|Last Update Date ?||Jul 8, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Eyewear Supplier (Equipment, not the service)||Suppliers|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Northeastern State University College Of Optometry's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. George Edward Foster (O.D.)|
|Authorized Official Title/Position||DEAN|
|Authorized Official Phone Number||918-456-5511|