Organization
ADVANCED EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEY ANN BRUNK O.D. (OWNER)
(918) 427-3937
Entity
Organization
Contact information
Practice address
311 E RAY FINE BLVD, SUITE 5, ROLAND, OK 74954-5160
(918) 427-3937
(918) 427-8882
Mailing address
PO BOX 1075, ROLAND, OK 74954-1075
(918) 427-3937
(918) 427-8882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2597
OK
Other
Enumeration date
09/22/2009
Last updated
08/18/2010
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