Brunk Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1025 Issued in OK

Legal business name

BRUNK OPTOMETRY INC

Practice address

816 W Cedar St
Stilwell, OK 74960-3453

Phone

(918) 696-6717

Fax

(918) 696-6717

NPI assigned

Jan 8, 2008

Last updated

Apr 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Billy Joe Brunk, ODNPI 1508948548

Title

President

Phone

(918) 696-6717

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Billy Joe Brunk, O.D.

  • Optometrist
  • Stilwell, OK
  • NPI 1508948548
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1952586091",
    "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": {
        "organization_name": "BRUNK OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-696-6717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200133770A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "540012215",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Michelle Bradley, L.P.C.
• Racheal Imelda Brady, APRN
• Samantha Brannon
• Heather Kristeen Brown, BHRS
• Kandra Joy Brown, LPC
• Billy Joe Brunk, O.D.
• Kristy Ann Buckner
• Cherryl Kathline Bunch
• Gregory Wayne Bunch, 175T00000X
• Stephanie Dawn Bunch, APRN

• Optometrist in Stilwell, OK
• Providers in Stilwell, OK by specialty
• 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.
• 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.