What is Douglas Penisten's NPI number?

Douglas Penisten's National Provider Identifier (NPI) is 1487673489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Douglas Penisten's specialty?

Douglas Penisten is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Douglas Penisten located?

Douglas Penisten's practice location on file with NPPES is 1001 N Grand Ave, Tahlequah, OK 74464-7017.

What is Douglas Penisten's phone number?

The practice phone number listed in the NPPES registry for Douglas Penisten is (918) 458-2109.

Is Douglas Penisten's NPI active?

Yes — Douglas Penisten's NPI (1487673489) is active in the NPPES registry as of the last update on 2008-07-31.

IndividualActive

Douglas Penisten, OD

NPI 1487673489 · Optometrist · Tahlequah, OK

Douglas Penisten, OD is a Optometrist provider in Tahlequah, OK (NPI 1487673489).

Provider details

NPI number: 1487673489
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: 2078 (OK)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 2078 (OK)
Eye and Vision Services Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1001 N Grand Ave

Tahlequah, OK 74464-7017

Phone: (918) 458-2109

Fax: (918) 458-2310

Street-level locationGet directions

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Mailing address