NPI 1043327778

Northeastern State University College of Optometry

Organisation Eyewear Supplier Stilwell, OK

Practice location

Address: Route 2 Box 93, Stilwell, OK 74960
Phone: (918) 696-8820
Fax: (918) 696-8882
Mailing address: 1001 N Grand Ave, Tahlequah, OK 74464-7017

Authorised official

Name: George Edward Foster
Title: Dean
Phone: (918) 456-5511

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1043327778
Entity type: Organization
NPI issued: 25 Aug 2006
Record last updated: 8 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.