Stacey A Pruitt, OD

NPI #1700837069 in Greenfield, Indiana

Provider Information

NPI Number
1700837069
Entity Type
Individual
Name
Stacey A Pruitt, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
May 12, 2006
Last Updated
Mar 17, 2019

Practice Location

Address
1250 N STATE ST
State
Indiana
ZIP Code
46140-1055
Phone
(812) 614-1411

Specialties & Taxonomy Codes

Specialty
Optometrist

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