NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY
NPI 1437106333
Optometrist in Tahlequah, OK

Q: What is Northeastern State University College Of Optometry's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 27, 2006

1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 458-2109(918) 458-2310 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1437106333

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameNORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY

Location Address1001 N GRAND AVETahlequah, OK 74464-7017

Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 458-2109 · Fax (918) 458-2310

Phone(918) 458-2109

Fax(918) 458-2310

Organization SubpartNo

Authorized OfficialDouglas PenistenDean · (918) 456-5511

Enumeration DateMay 27, 2006

Last NPPES UpdateAugust 30, 2010

✔ NPI 1437106333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X

Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X

Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedEyewear SupplierTaxonomy 332H00000X

1001 N GRAND AVE, Tahlequah, OK 74464

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Other Names 1

Other NameNortheastern State University Oklahoma College Of Optometry

Other Identifiers 3

Medicare NSC4610400001OK

Medicaid100732440AOK

Medicare PIN800522171OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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 Optometry

✔

Accepts 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.

PTAN (Medicare Supplier Number)20601611

Medicare Participant SinceJanuary 11, 2003

Supplier Location1001 N Grand Ave Attn Jennifer JonesTahlequah, OK 74464

Phone(918) 444-4034

Supplier Specialties

Optometrist

Medicare Product Categories

Ocular Prostheses

Prosthetic eyes

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELE BITHER-MARSHALL OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. RODNEY BENDURE OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. MEGAN J CHEE O.D.

Optometrist

1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4031

DR. LATRICIA PACK OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 458-2109

DR. LAURA LAI MING CHAN OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4000

HANNAH MUNYAN SIKES OD

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4007

DR. RIYAD KHAMIS O.D

Optometrist

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 822-1299

MR. CEDRICK MAH OD

Optometrist (Low Vision Rehabilitation)

1001 N GRAND AVE
TAHLEQUAH, OK 74464

Cherokee County (918) 444-4000

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.

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 15 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.