DR. JENNY KISNER (NPI# 1225016413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225016413 |
| Entity Type | Individual |
| Full Name | DR. JENNY KISNER |
| Other Name | JENNY BRUNGARDT |
| Credential | O.D. |
| Practice Address |
1508 Brook Ave Wichita Falls TX 76301-5604 |
| Practice Telephone | 9407612317 |
| Practice Fax Number | 9407612992 |
| Mailing Telephone | 9407612317 |
| Mailing Fax Number | 9407612992 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6311TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 155029505 | 05 | |
| TX | 1550295-01 | 05 |
| Street Address |
1508 BROOK AVE |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366798498 | Sarah Cooper Solomons | Optometrist | 1508 Brook Ave, Wichita Falls, TX 76301-5604 | 2012-07-26 |
| 1891938163 | Jenny M. Kisner Od LLC | Ophthalmology | 1508 Brook Ave, Wichita Falls, TX 76301-5604 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| 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 |
|---|---|---|---|---|
| 1710327739 | Optometry Associates of Wichita Falls | Optometrist | 3111 Midwestern Pkwy Ste 256b, Wichita Falls, TX 76308-2826 | 2013-07-05 |
| 1174707087 | Lee Ann Moll | Optometrist | 4102 Jacksboro Hwy Ste 100, Wichita Falls, TX 76302-2747 | 2007-12-27 |
| 1982780615 | Texoma Family Eye Care Clinic Pa | Optometrist | 4102 Jacksboro Hwy, Suite 100, Wichita Falls, TX 76302-2747 | 2006-10-27 |
| 1467548313 | Tom Sheriff | Optometrist | 4206 Kemp Blvd, Ste B, Wichita Falls, TX 76308-2845 | 2006-10-05 |
| 1871503128 | Willie B Castleberry IIi | Optometrist | 3111 Midwestern Pkwy, Ste 256a, Wichita Falls, TX 76308-2823 | 2006-08-09 |
| 1669406187 | Thomas Jefferson Schell | Optometrist | 4314 Kemp Blvd, Wichita Falls, TX 76308-3716 | 2006-07-10 |
| 1902839889 | Terry L Kirkland | Optometrist | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 | 2006-07-07 |
| 1881670446 | Robert Lindsay Staples | Optometrist | 1708 Kell Blvd, Wichita Falls, TX 76301-5627 | 2005-12-15 |
| 1265431340 | Larry D. Gunnell | Optometrist | 3631 Maplewood Ave, Suite 2, Wichita Falls, TX 76308-2149 | 2005-07-20 |
| 1417519117 | Maranda Kathryn Mcgonigle | Optometrist | 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 | 2019-07-02 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
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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.