Stacey a Pruitt Od,inc
NPI #1508322009 in Greenfield, Indiana
Provider Information
- NPI Number
- 1508322009
- Entity Type
- Organization
- Organization Name
- Stacey a Pruitt Od,inc
- Primary Specialty
- Optometrist
- Enumeration Date
- Feb 20, 2019
- Last Updated
- Feb 20, 2019
Practice Location
- Address
- 1250 N STATE ST
- City
- Greenfield
- State
- Indiana
- ZIP Code
- 46140-1055
- Phone
- (812) 614-1411
Authorized Official
- Name
- STACEY A PRUITT, OD
- Title
- OPTOMETRIST
- Phone
- (812) 614-1411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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