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

NPI Status: Active since August 19, 2006

Contact Information

900 N OWEN WALTERS BLVD
SALINA, OK
ZIP 74365
Phone: (918) 434-8516
Fax: (918) 434-2995

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 37D2260969
  • CLIA Cert. Type: Other - ADDICTION TREATMENT CTR
  • CLIA Exp. Date: 05-24-2026

About NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY

This page provides the complete NPI Profile along with additional information for Northeastern State University College Of Optometry, a provider established in Salina, Oklahoma operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1972617405 assigned on August 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. George Edward Foster O.d. (Dean)

NPI
1972617405
Provider Name
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
Entity Type
Organization
Location Address
900 N OWEN WALTERS BLVD SALINA, OK 74365
Location Phone
(918) 434-8516
Location Fax
(918) 434-2995
Mailing Address
1001 N GRAND AVE TAHLEQUAH, OK 74464
Mailing Phone
(918) 458-2109
Mailing Fax
(918) 434-2995
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
07-08-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GEORGE EDWARD FOSTER O.D.

Authorized Official Title
DEAN
Authorized Official Phone
(918) 456-5511

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2260969
Facility Type
Other - ADDICTION TREATMENT CTR
Certificate Effective Date
May 25, 2024
Certificate Expiration Date
May 24, 2026
Laboratory Director
JASON BALLEW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeastern State University College Of Optometry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972617405
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421211440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 2 + 1 + 1 + 4 + 4 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1972617405 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033101746DR. MARGARET JANE HUFFMAN MD
Individual
Pediatrics900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1528050085 MICHAEL R. UNDERWOOD MD
Individual
Family Medicine900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1215925482MR. MARK JAMES KEELEY R.D.,L.D.,C.D.E.
Individual
Dietitian, Registered900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1538158969 BRETT MCNEIL GRAY M.D.
Individual
Family Medicine900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1942299276DR. GLORIA ANN GRIM M.D.
Individual
Family Medicine900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1386655793DR. RALPH CASEY EDWARDS PHARM. D
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8507
1447301817DR. STEPHANIE RENEE ARNOLD PHARM D.
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 521-5200
1225238777 CHRISA LYN SISSON PHARMD
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1609076264MRS. DIANA SUE BAGENT DPH
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8507
1952584864MRS. DIANE ELIZABETH LAY R.D.
Individual
Dietitian, Registered900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1376781336MRS. RHONDA GAIL BROWN RPA
Individual
Radiology Practitioner Assistant900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8526
1932340544 ROBYN ELLIS
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1790095198MRS. ERICA SHAYE KING PHARM. D.
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8507
1720358013DR. HEATHER MICHEAL BARRY PHARM. D.
Individual
Pharmacist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1770839979DR. JONATHAN MATTHEW HATLEY O.D.
Individual
Optometrist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8516
1720427693DR. DANIEL FLETCHER SKENDER D.M.D.
Individual
Dentist900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1023444619MRS. JULIE MICHELLE GASKINS NP
Individual
Nurse Practitioner (Family)900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1407849193MS. TERRIE LYNN EDWARDS ARNP
Individual
Nurse Practitioner (Family)900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500
1174995427 LORI BLACKWELL
Individual
Case Manager/Care Coordinator900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8630
1679932586 NICKCOLE MUNOZ FNP-C
Individual
Nurse Practitioner (Family)900 N OWEN WALTERS BLVD
SALINA, OK 74365
(918) 434-8500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972617405, enumerated in the NPI registry as an "organization" on August 19, 2006

The provider is located at 900 N Owen Walters Blvd Salina, Ok 74365 and the phone number is (918) 434-8516

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider's CLIA number is 37D2260969 for a "other - addiction treatment ctr" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.