Active NPI
Jenny M. Kisner OD LLC
Doing business as Brookstone Eye Center
- Optometrist
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JENNY M. KISNER OD LLC
- Doing business as
- Brookstone Eye Center
- Practice address
- 1508 Brook Ave
Wichita Falls, TX 76301-5604 - Phone
- (940) 761-2317
- Fax
- (940) 761-2992
- NPI assigned
- Apr 15, 2009
- Last updated
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny M Kisner, O.D.
- Title
- Owner/Member
- Phone
- (940) 761-2317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
1508 Brook Ave
Wichita Falls, TX 76301-5604
Mailing address
1508 Brook Ave
Wichita Falls, TX 76301-5604
Phone (940) 761-2317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208393302 | Medicaid | TX |
Other names 1
- Brookstone Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1508 Brook Ave
Wichita Falls, TX 76301
Phone (940) 761-2317
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Wichita Falls, TX
- NPI 1225016413
-
- Ophthalmology Physician
- Wichita Falls, TX
- NPI 1285612481
-
- Optometrist
- Wichita Falls, TX
- NPI 1023755196
-
- Corneal and Contact Management Optometrist
- Bowie, TX
- NPI 1972539070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1891938163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015604",
"telephone_number": "940-761-2317",
"fax_number": "940-761-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015604",
"telephone_number": "940-761-2317",
"fax_number": "940-761-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNY M. KISNER OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-15",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "KISNER",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "940-761-2317",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208393302",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookstone Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.