Jenny M. Kisner Od LLC
Optometrist in Wichita Falls, TX. Organization (NPI-2).
NPI number1891938163
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1891938163
- Entity type
- Organization (NPI-2)
- Legal business name
- Jenny M. Kisner Od LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2009
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 207W00000X | Ophthalmology | – | – |
Other names
- Brookstone Eye Center (Doing Business As)
Practice location
1508 Brook AveWichita Falls, TX 76301-5604
Phone 940-761-2317 · Fax 940-761-2992
Mailing address
1508 Brook AveWichita Falls, TX 76301-5604
Phone 940-761-2317 · Fax 940-761-2992
Authorized official
Jenny M Kisner
Owner/Member
9407612317
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