NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY is an eyewear supplier in Jay, 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 OPTOMETRY NPI is 1790899219. The provider is registered as an organization entity type.
The provider's business location address is:
1015 WASHBOURNE
JAY, OK
ZIP 74346
Phone: (918) 253-4271
Fax: (918) 253-3287
The provider's authorized official is George Edward Foster .
The authorized official title is Dean and has the following contact phone number (918) 456-5511.
The CLIA number assigned to this NPI record is 37D2081616 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2008.