Stacey A Pruitt is a Greenfield, Indiana based female Optometrist with 25 years of experience in Optometry. She completed her graduation from Indiana University - School Of Optometry in 1999. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacey A Pruitt is 18003010A for Optometry in Indiana. Stacey A Pruitt examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Stacey A Pruitt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
25+ years
Medical School Attended:
Indiana University - School Of Optometry
Graduation Year:
1999
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1250 N State St, Greenfield, Indiana, 46140-1055
Phone:
812-614-1411
Fax:
317-462-6342
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1456327626
Enrollment ID:
I20040908001484
NPI Number:
1700837069
NPI Enumeration Date:
12 May, 2006
NPI Last Update On:
17 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey A Pruitt are as mentioned below.
License Number
Specialization
State
Status
18003010A
Optometry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey A Pruitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00447876
Other
Indiana
MEDICARE ID NUMBER
200291080
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10639 Windjammer Cir, Indianapolis, Indiana
Zip:
46236-8934
Phone Number:
812-614-1411
Fax Number:
317-462-6342
Patients can reach Stacey A Pruitt at 1250 N State St, Greenfield, Indiana or can call to book an appointment on 812-614-1411. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.