| |
930 S Elliott Ave, Aurora, MO 65605-2402 | |
(417) 678-2161 | |
(417) 678-2241 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 930 S Elliott Ave, Aurora, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477986651 | NPI | - | NPPES |
310574918 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T02302 (Missouri) | Primary |
Provider Name | Larry Pratt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033248901 PECOS PAC ID: 9133238082 Enrollment ID: I20110325000730 |
Mailing Address | Practice Location Address |
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Po Box 676, Aurora, MO 65605-0676 Ph: (417) 678-2161 | 930 S Elliott Ave, Aurora, MO 65605-2402 Ph: (417) 678-2161 |
Larry F Pratt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 930 S Elliott Ave, Aurora, MO 65605 Phone: 417-678-2161 Fax: 417-678-2241 | |
Dawn R Negre, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 320 S Madison Ave, Aurora, MO 65605 Phone: 417-678-1177 Fax: 417-678-5954 |