Kimberley A Brunk (NPI# 1316178155, PAC ID# 5496891988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1316178155 |
| PAC ID by PECOS | 5496891988 |
| Professional Enrollment ID | I20091014000512 |
| Full Name | Kimberley A Brunk |
| Organization Legal Name | ADVANCED EYE CARE, PLLC |
| Address |
311 E Ray Fine Blvd Suite 5 Roland OK 74954-5367 |
| Phone Number | 9184273937 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7517003262 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5367 | 9184273937 | ADVANCED EYE CARE, PLLC |
| Organization Legal Name | ADVANCED EYE CARE, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maygen J Enochs-wilson | Optometry | Advanced Eye Care, Pllc | 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5367 |
| Street Address |
311 E RAY FINE BLVD SUITE 5 |
| City | ROLAND |
| State | OK |
| Zip | 74954-5367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maygen J Enochs-wilson | Optometry | Advanced Eye Care, Pllc | 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan A Seubold | Chiropractic | 1022 Ray Fine Blvd, Suite 4, Roland, OK 74954 | |
| Leslie Ann Eddleman | Family Medicine | Community Family Medical Clinic, LLC | 508 W Ray Fine Blvd, Roland, OK 74954-5262 |
| John Wellman | Family Practice | Community Family Medical Clinic, LLC | 508 W Ray Fine Blvd, Roland, OK 74954-5262 |
| City | ROLAND |
| Zip Code | 74954 |
| Specialty | OPTOMETRY |
| City + Specialty | ROLAND + OPTOMETRY |
Please comment or provide details below to improve the information on Kimberley A Brunk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.