DR. KIMBERLEY ANN BRUNK (NPI# 1316178155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316178155 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLEY ANN BRUNK |
| Credential | O.D. |
| Practice Address |
1022 East Ray Fine Boulevard Suite 5 Roland OK 74954 |
| Practice Telephone | 9184273937 |
| Mailing Telephone | 9184273937 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2597 | OK | Eye and Vision Services Providers |
| Street Address |
1022 EAST RAY FINE BOULEVARD SUITE 5 |
| City | ROLAND |
| State | OK |
| Zip Code | 74954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
| 1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
| 1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
| 1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
| 1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
| 1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
| 1265542617 | Sequoyah East Nursing Center LLC | Skilled Nursing Facility | 701 S Taylor Rd, Roland, OK 74954 | 2006-08-30 |
| Find all providers in zip 74954 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255826459 | Maygen J Enochs-wilson | Optometrist | 311 E Ray Fine Blvd Ste 5, Roland, OK 74954-5367 | 2018-06-29 |
| 1154655280 | Advanced Eye Care, Pllc | Optometrist | 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5160 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
| 1609475540 | Mel Vision LLC | Optometrist | 6310 N May Ave, Oklahoma City, OK 73112-4298 | 2020-10-21 |
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1770190779 | Nate Richard Castillo | Optometrist | 2625 Cambridge Cir, Tahlequah, OK 74464-4690 | 2020-09-24 |
| 1427663731 | Kathryn Elizabeth Kubiak | Optometrist | 1811 W Grant Ave, Pauls Valley, OK 73075-9202 | 2020-09-14 |
| 1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1588273080 | Nattali Nicole Masson | Optometrist | 1400 E Wade Watts Ave, Mcalester, OK 74501-5652 | 2020-07-30 |
| 1225647415 | Legacy Eye Care Pllc | Optometrist | 1207 Cornwell Dr, Yukon, OK 73099-4633 | 2020-07-24 |
| 1285252213 | Mid-del Vision Source Pllc | Optometrist | 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.