STACEY A PRUITT OD,INC (NPI# 1508322009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508322009 |
| Entity Type | Organization |
| Organization Name | STACEY A PRUITT OD,INC |
| Practice Address |
1250 N State St Greenfield IN 46140-1055 |
| Mailing Address |
10639 Windjammer Cir Indianapolis IN 46236-8934 |
| Practice Telephone | 8126141411 |
| Mailing Telephone | 8126141411 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | STACEY A PRUITT (OPTOMETRIST) |
| Authorized Official Telephone | 8126141411 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300022485 | 05 |
| Street Address |
1250 N STATE ST |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837069 | Stacey A Pruitt | Optometrist | 1250 N State St, Greenfield, IN 46140-1055 | 2006-05-12 |
| 1710203310 | Eyes 2020 Inc. | Technician/Technologist | 1250 N State St, Greenfield, IN 46140-1055 | 2010-04-08 |
| 1992854822 | Zzb Inc | Technician/Technologist | 1250 N State St, Greenfield, IN 46140-1055 | 2007-01-09 |
| 1417006354 | Paul J Joyner | Optometrist | 1250 N State St, Greenfield, IN 46140-1055 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824503 | John Jacob Krochmal Iv | Optometrist | 211b El Camino Real, Greenfield, CA 93927-5125 | 2020-05-29 |
| 1720543614 | Ophthalmology Associates S C | Optometrist | 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 | 2019-02-05 |
| 1811397896 | Sarah Lynn Wertsbaugh | Optometrist | 311 Jefferson St, Greenfield, OH 45123-1352 | 2014-08-27 |
| 1245380492 | Michael D Elsbury | Optometrist | 846 N State St, Greenfield, IN 46140-1201 | 2007-01-11 |
| 1194832923 | Monica Price Kowaleski | Optometrist | 946 N State St, Suite B, Greenfield, IN 46140-1202 | 2006-08-25 |
| 1659317865 | Robert A Weiland | Optometrist | 107 Ne 2nd Street, Greenfield, IA 50849 | 2006-06-22 |
| 1396787214 | Sylvia Kang Lee | Optometrist | 211b El Camino Real Ste 2, Greenfield, CA 93927-5125 | 2006-06-12 |
| 1700837069 | Stacey A Pruitt | Optometrist | 1250 N State St, Greenfield, IN 46140-1055 | 2006-05-12 |
| 1295791911 | Donna M Belanger | Optometrist | 4818 S 76th St, Ste 1, Greenfield, WI 53220 | 2006-04-21 |
| 1073593059 | Judith Ann Driscoll | Optometrist | Main Street Optical, 219 Main Street, Greenfield, MA 01301 | 2006-01-18 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.