DR. DOUGLAS PENISTEN, OD
Optometrist
Active
Individual
NPI: 1487673489
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2078 (OK) |
Frequently Asked Questions
NPI 1487673489 is the National Provider Identifier for DR. DOUGLAS PENISTEN, OD, a Optometrist provider located in Tahlequah, OK. This NPI was enumerated on July 19, 2006.
DR. DOUGLAS PENISTEN, OD practices at 1001 N GRAND AVE, Tahlequah, OK 74464.
Quick Facts
- NPI
- 1487673489
- Type
- Individual
- Enumerated
- Jul 19, 2006
- Last Updated
- Jul 31, 2008
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