DR. DOUGLAS PENISTEN OD
NPI 1487673489
Optometrist in Tahlequah, OK

Q: What is Douglas Penisten's NPI number?

The NPI number for Douglas Penisten is 1487673489. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Douglas Penisten's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Penisten was last updated on July 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2006

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

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Douglas Penisten Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS PENISTEN OD (NPI 1487673489) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (2078) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1487673489

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DOUGLAS PENISTENCredential: OD

Location Address1001 N GRAND AVETahlequah, OK 74464-7017

Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 456-5511

Phone(918) 458-2109

Fax(918) 458-2310

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 31, 2008

✔ NPI 1487673489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OK · 2078

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.

1001 N GRAND AVE, Tahlequah, OK 74464

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