NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY
NPI 1437106333
Optometrist in Tahlequah, OK
About Northeastern State University Oklahoma College Of Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY (NPI 1437106333) is a healthcare organization registered as an optometrist in Tahlequah, Oklahoma and active in the NPI registry since May 2006. The organization lists Douglas Penisten, Dean, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeastern State University Oklahoma College Of Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
96Medicare enrollment records show 96 clinicians reassign Medicare billing to Northeastern State University Oklahoma College Of Optometry, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 96Tahlequah, OK 74464
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Northeastern State University Colle carries, from the Medicare DMEPOS supplier directory.
Northeastern State University Colle
DMEPOS supplier · Tahlequah, OKOperated by Northeastern State University College Of OptometryAccepts Medicare assignment
Northeastern State University Colle agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Northeastern State University College Of Optometry's NPI number?
The NPI number for Northeastern State University College Of Optometry is 1437106333. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is also known as Northeastern State University Oklahoma College Of Optometry.
Where is Northeastern State University College Of Optometry located?
Northeastern State University College Of Optometry is located at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-2109.
What is Northeastern State University College Of Optometry's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Northeastern State University College Of Optometry enrolled in Medicare?
Yes. Northeastern State University College Of Optometry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeastern State University College Of Optometry?
According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 2 Medicare specialties reassign their Medicare billing to Northeastern State University College Of Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (95) and Ophthalmology (1). Of these, 28 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northeastern State University College Of Optometry accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Northeastern State University Colle accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Northeastern State University College Of Optometry accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Northeastern State University College Of Optometry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Northeastern State University College Of Optometry was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Northeastern State University Oklahoma College Of Optometry · NPI 1437106333
Optometrist organization in Tahlequah, Oklahoma. Organization record, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1437106333 (Entity type: Organization)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Northeastern State University College Of Optometry
- **Organization subpart:** No
- **Authorized official:** Douglas Penisten, DEAN
## Practice location
- **Address:** 1001 N GRAND AVE, Tahlequah, OK 74464-7017
- **Phone:** (918) 458-2109 · **Fax:** (918) 458-2310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 96 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (95), Ophthalmology (1); 28 practice at this address and 35 within 10 miles; [full list](https://npiprofile.com/npi/1437106333/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2010
- **Other identifiers:** Medicare NSC 4610400001 (OK); Medicaid 100732440A (OK); Medicare PIN 800522171 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1437106333) · Data from the CMS NPPES public registry.