Northeastern State University College Of Optometry is a Corneal and Contact Management Optometrist Center in Tahlequah, Oklahoma. It is situated at 1001 N Grand Ave, Tahlequah and its contact number is 918-458-2109. The authorized person of Northeastern State University College Of Optometry is Dr. Douglas Penisten
who is Dean of the clinic and their contact number is 918-456-5511. Northeastern State University College Of Optometry Center have optometrists who can perform professional activities related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Complete Center Profile:
Northeastern State University College Of Optometry Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry - Corneal and Contact Management
Clinic Address:
1001 N Grand Ave, Tahlequah, Oklahoma, 74464-7017
Phone:
918-458-2109
Fax:
918-458-2310
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Douglas Penisten
Position:
Dean
Contact Number:
918-456-5511
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Northeastern State University College Of Optometry Center are as mentioned below.
NPI Number:
1437106333
NPI Enumeration Date:
27 May, 2006
NPI Last Update On:
30 Aug, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeastern State University College Of Optometry are as mentioned below.
Specialization
License Number
State
Status
Optometrist
Primary
Corneal and Contact Management
Secondary
Low Vision Rehabilitation
Secondary
Pediatrics
Secondary
Vision Therapy
Secondary
Occupational Vision
Secondary
Sports Vision
Secondary
Ophthalmology
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100732440A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Northeastern State University College Of Optometry 1001 N Grand Ave, Tahlequah, Oklahoma
Zip:
74464-7017
Phone Number:
918-458-2109
Fax Number:
918-458-2310
Patients can reach Northeastern State University College Of Optometry at 1001 N Grand Ave, Tahlequah, Oklahoma or can call to book an appointment on 918-458-2109. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.