Stacey A Pruitt Od,inc | |
1250 N State St, Greenfield, IN 46140-1055 | |
(812) 614-1411 | |
Not Available |
Full Name | Stacey A Pruitt Od,inc |
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Type | Facility |
Speciality | Optometrist |
Location | 1250 N State St, Greenfield, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508322009 | NPI | - | NPPES |
300022485 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Stacey A Pruitt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700837069 PECOS PAC ID: 1456327626 Enrollment ID: I20040908001484 |
Mailing Address | Practice Location Address |
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Stacey A Pruitt Od,inc 10639 Windjammer Cir, Indianapolis, IN 46236-8934 Ph: (812) 614-1411 | Stacey A Pruitt Od,inc 1250 N State St, Greenfield, IN 46140-1055 Ph: (812) 614-1411 |
Faye L Peters, Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1250 N State St, Greenfield, IN 46140 Phone: 317-462-5949 | |
Dr. Caitlin Marie Parks, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 | |
Dr. Nicholas Joseph Mccolley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 Fax: 317-462-6625 | |
Dr. Elaine R Scott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 | |
Kelley Lynn Deak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 W Green Meadows Dr Ste 300, Greenfield, IN 46140 Phone: 317-477-3937 Fax: 317-477-3939 | |
Dr. Monica Price Kowaleski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 946 N State St, Suite B, Greenfield, IN 46140 Phone: 317-402-0222 | |
Kasey Stolle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 W Green Meadows Dr Ste 300, Greenfield, IN 46140 Phone: 317-477-3937 Fax: 317-477-3939 |