Stacey A Pruitt in Indianapolis - Optometrist
Stacey A Pruitt - NPI 1700837069
Stacey A Pruitt is a Optometrist in Indianapolis, Indiana. Stacey A Pruitt practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stacey A Pruitt is 1700837069. The last update date is 2019-03-17.
Stacey A Pruitt's current location address is 10639 Windjammer Cir, Indianapolis, Indiana. You can contact this provider via phone number 8126141411 and fax number 3174626342. The mailing address for Stacey A Pruitt is 10639 Windjammer Cir, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey A Pruitt |
|---|---|
| Address | 10639 Windjammer Cir, Indianapolis, Indiana |
| Phone Number | 8126141411 |
| Fax Number | 3174626342 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1700837069 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2019-03-17 |
Provider Mailing Address Detail
| Address | 10639 Windjammer Cir |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462368934 |
| Phone Number | 8126141411 |
| Fax Number | 3174626342 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18003010A |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00447876 | IN | MEDICARE ID NUMBER | |
| 200291080 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stacey A Pruitt by the Centers for Medicare & Medicaid Services?
The Stacey A Pruitt has been assigned the NPI (National Provider Identifier) 1700837069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Stacey A Pruitt?
The Stacey A Pruitt is situated at 10639 Windjammer Cir, in the city of Indianapolis, state of IN, with the zip code 462368934.
What is Stacey A Pruitt's area of expertise and its corresponding taxonomy classification?
The Stacey A Pruitt's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1700837069 to Stacey A Pruitt?
The Centers for Medicare & Medicaid Services assigned the 1700837069 to Stacey A Pruitt on 2006-05-12.
When was the Stacey A Pruitt's information last updated?
The Stacey A Pruitt's information was last updated on 2019-03-17.