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NPI Code Detail

MEDICARE: BRITENY BRUNNER ALLISON O.D.

MEDICARE:   BRITENY BRUNNER ALLISON  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management Optometrist8167TGTX
2152W00000XOptometrist8167TGTX

General Provider Information

NPI Number : 1649612375
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITENY BRUNNER ALLISON O.D.
Provider Business Mailing Address
First Line : 1520 S BROADWAY ST
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-4922
Country : US
Telephone Number : 903-885-7999
Fax Number :
Provider Business Practice Location Address
First Line : 1520 S BROADWAY ST
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-4922
Country : US
Telephone Number : 903-885-7999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2013
Last Update Date : 10/07/2024

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Directions to “ BRITENY BRUNNER ALLISON O.D.” Practice Location

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