Organization
BRUNK OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY JOE BRUNK OD (PRESIDENT)
(918) 696-6717
Entity
Organization
Contact information
Practice address
816 W CEDAR ST, STILWELL, OK 74960-3453
(918) 696-6717
(918) 696-6717
Mailing address
816 W CEDAR ST, STILWELL, OK 74960-3453
(918) 696-6717
(918) 696-6717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200133770A
—
OK
01
—
540012215
RAILROAD RETIREMENT BOARD
OK
Enumeration date
01/08/2008
Last updated
04/07/2009
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