Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeastern State University College of Optometry

Organization Eyewear Supplier · NPI 1790899219

Northeastern State University College of Optometry is an Eyewear Supplier in Jay, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

1015 Washbourne
Jay, OK 74346
Phone: (918) 253-4271
Fax: (918) 253-3287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1790899219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Foster — Dean · (918) 456-5511
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 8, 2008
Mailing address1001 N Grand Ave, Tahlequah, OK 74464-7017