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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUGLAS PENISTEN, OD

Active

DR. DOUGLAS PENISTEN, OD is a Optometrist healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1487673489 is currently active in the NPPES registry. Verify at CMS.

Optometrist · TAHLEQUAH, OK

Registration Details

NPI Number
1487673489
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2006 (19.882662871546 yrs)
Last Updated
Jul 31, 2008
License
2078 (OK)

Practice Information

Address
1001 N GRAND AVE
TAHLEQUAH, OK, 744647017
Browse OK providers · Browse ZIP 74464
Phone
9184582109
Fax
9184582310
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in TAHLEQUAH, OK

Name Credential NPI
DR. JOE D COPE OD 1760488951
DR. LELAND CARR OD 1891786778
LISA ANN HATFIELD O.D. 1972585545
DR. JAMES GIBSON MAHANEY O.D. 1689621021
DR. HENRICUS VANVEEN OD 1871510461
DR. FREDRICK J PEMBROKE OD 1578582573
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.