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

Dr. Fredrick J Pembroke, OD

Individual provider Optometrist · NPI 1578582573

Dr. Fredrick J Pembroke, OD is an Optometrist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone: (918) 458-2109
Fax: (918) 458-2310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 001 (OK)
Optometrist Taxonomy 152W00000X · Licence 882 (OK)

Record details

NPI number1578582573
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 31, 2010

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