Provider Demographics
NPI:1952962771
Name:BRUN, ALLISON CRAMER (OD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CRAMER
Last Name:BRUN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 BENTLEY RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-5719
Mailing Address - Country:US
Mailing Address - Phone:484-574-2729
Mailing Address - Fax:
Practice Address - Street 1:422 N QUEEN ST FL 2
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3014
Practice Address - Country:US
Practice Address - Phone:717-735-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003527152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist