NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
NPI 1972617405
Eyewear Supplier in Salina, OK

Q: What is the provider's specialty?

The provider's specialty is Eyewear Supplier with taxonomy code 332H00000X.

Active since August 19, 2006

900 N OWEN WALTERS BLVD, SALINA, OK 74365(918) 434-8516(918) 434-2995 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Northeastern State University College Of Optometry NPPES

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

NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY (NPI 1972617405) is a healthcare organization registered as an eyewear supplier in Salina, Oklahoma and active in the NPI registry since August 2006. The organization lists George Edward Foster, Dean, as its authorized official.

NPPES Registry Identity

NPI1972617405

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameNORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY

Location Address900 N OWEN WALTERS BLVDSalina, OK 74365-5003

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

Phone(918) 434-8516

Fax(918) 434-2995

Organization SubpartNo

Authorized OfficialGeorge Edward FosterDean · (918) 456-5511

Enumeration DateAugust 19, 2006

Last NPPES UpdateJuly 8, 2008

✔ NPI 1972617405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

900 N OWEN WALTERS BLVD, Salina, OK 74365

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2260969

Northeastern Health System Addiction Resource Ctr · Tahlequah, OK

Expired · May 24, 2026

CLIA Number37D2260969

Laboratory TypeAddiction Treatment Ctr

Certificate Effective DateMay 25, 2024

Certificate Expiration DateMay 24, 2026

Laboratory DirectorJason Ballew

Laboratory Phone(918) 931-3890

Laboratory LocationNortheastern Health System Addiction Resource Ctr1323 W Keetoowah St, Tahlequah, OK 74464

This certificate is issued to a laboratory to perform only waived tests.

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. MARGARET JANE HUFFMAN MD

Pediatrics