| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700837069 PECOS PAC ID: 1456327626 Enrollment ID: I20040908001484 |
| Mailing Address | Practice Location Address |
|---|---|
| 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: Accepting Medicare Assignments 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: Not Enrolled in Medicare Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 | |
Kelley Lynn Deak, O.D. Optometrist Medicare: May Accept 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 |