Billy Joe Brunk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1025 Issued in OK

Practice address

816 W Cedar St
Stilwell, OK 74960-3453

Phone

(918) 696-6717

Fax

(918) 696-6717

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brunk Optometry Inc

  • Optometrist
  • Stilwell, OK
  • NPI 1952586091

  OK, Optometrist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1508948548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CEDAR ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603453",
            "telephone_number": "918-696-6717",
            "fax_number": "918-696-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W CEDAR ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603453",
            "telephone_number": "918-696-6717",
            "fax_number": "918-696-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "BILLY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "540012215",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racheal Imelda Brady, APRN
• Samantha Brannon
• Heather Kristeen Brown, BHRS
• Kandra Joy Brown, LPC
• Brunk Optometry Inc
• Kristy Ann Buckner
• Cherryl Kathline Bunch
• Gregory Wayne Bunch, 175T00000X
• Stephanie Dawn Bunch, APRN
• Shiny Susan Burke

• All providers in Stilwell, OK
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.