Organization
JENNY M. KISNER OD LLC
Active
Other names
Brookstone Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY M KISNER O.D. (OWNER/MEMBER)
(940) 761-2317
Entity
Organization
Contact information
Practice address
1508 BROOK AVE, WICHITA FALLS, TX 76301-5604
(940) 761-2317
(940) 761-2992
Mailing address
1508 BROOK AVE, WICHITA FALLS, TX 76301-5604
(940) 761-2317
(940) 761-2992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208393302
—
TX
Enumeration date
04/15/2009
Last updated
03/25/2025
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