| Advanced Eye Care, Pllc | |
|
311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5160 | |
| (918) 427-3937 | |
| (918) 427-8882 |
| Full Name | Advanced Eye Care, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 311 E Ray Fine Blvd, Roland, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154655280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2597 (Oklahoma) | Primary |
| Provider Name | Kimberley A Brunk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316178155 PECOS PAC ID: 5496891988 Enrollment ID: I20091014000512 |
| Provider Name | Maygen J Enochs-wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255826459 PECOS PAC ID: 7911257811 Enrollment ID: I20180913000958 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eye Care, Pllc Po Box 1075, Roland, OK 74954-1075 Ph: (918) 427-3937 | Advanced Eye Care, Pllc 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5160 Ph: (918) 427-3937 |
Mrs. Maygen J Enochs-wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 311 E Ray Fine Blvd Ste 5, Roland, OK 74954 Phone: 918-427-3937 Fax: 918-427-8882 | |
Dr. Kimberley Ann Brunk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 Phone: 918-427-3937 |