BAYLEY MARIE BRUNCK (NPI# 1013569243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013569243 |
| Entity Type | Individual |
| Full Name | BAYLEY MARIE BRUNCK |
| Credential | OD |
| Practice Address |
3313 W State Road 45 Bloomington IN 47403-5107 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 8123351788 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18004177A | IN | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1105 S College Mall Rd, Bloomington, IN 474016177 | 8123332020 | 8123342020 |
| Street Address |
3313 W STATE ROAD 45 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1801497011 | Lyman Lester Morris IIi | Pharmacist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2020-11-04 |
| 1780284141 | Kyle J Kessens | Pharmacist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2020-10-27 |
| 1215537600 | Clayton Jenkins | Pharmacist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2020-10-27 |
| 1841712841 | Sean Mcgrath | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2017-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1184044224 | Thomas Gast | Optometrist | 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 | 2014-04-16 |
| 1740520790 | Hoosier Eye Doctor Inc | Optometrist | 4719 W State Road 46, Bloomington, IN 47404-9518 | 2013-02-27 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1558661918 | Shu Sheng Phung | Optometrist | 315 S Center St, Bloomington, IL 61701-5101 | 2010-11-01 |
| 1760610265 | Denver Joseph Mcdaniel | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2009-06-24 |
| 1194987131 | Diana Lynn Christensen | Optometrist | 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 | 2008-07-01 |
| 1548458623 | William B. Witte, Ltd | Optometrist | 2409 E Washington St, Bloomington, IL 61704-4483 | 2007-10-14 |
| 1740472216 | Mark A Houser | Optometrist | 3818 W Woodyard Rd, Bloomington, IN 47404-1430 | 2007-08-17 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.