Stephen J Pruett (NPI# 1427070259, PAC ID# 1052509221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1427070259 |
| PAC ID by PECOS | 1052509221 |
| Professional Enrollment ID | I20110103000962 |
| Full Name | Stephen J Pruett |
| Organization Legal Name | THE EYE CENTERS OF RACINE AND KENOSHA LTD |
| Address |
9916 75th St Suite 101 Kenosha WI 53142-7583 |
| Phone Number | 2626370500 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8921069048 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9916 75th St, Suite 101, Kenosha, WI 53142-7583 | 2626370500 | THE EYE CENTERS OF RACINE AND KENOSHA LTD |
| 3805 B Spring St, Suite 140, Racine, WI 53405-1642 | 2626370500 | THE EYE CENTERS OF RACINE AND KENOSHA LTD |
| Organization Legal Name | THE EYE CENTERS OF RACINE AND KENOSHA LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Inder P Singh | Ophthalmology | The Eye Centers of Racine and Kenosha Ltd | 9916 75th St, Suite 101, Kenosha, WI 53142-7583 |
| Radha K Sanka | Ophthalmology | The Eye Centers of Racine and Kenosha Ltd | 9916 75th St, Suite 101, Kenosha, WI 53142-7583 |
| Kanwar A Singh | Ophthalmology | The Eye Centers of Racine and Kenosha Ltd | 9916 75th St, Suite 101, Kenosha, WI 53142-7583 |
| Street Address |
9916 75TH ST SUITE 101 |
| City | KENOSHA |
| State | WI |
| Zip | 53142-7583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Inder P Singh | Ophthalmology | The Eye Centers of Racine and Kenosha Ltd | 9916 75th St, Suite 101, Kenosha, WI 53142-7583 |
| Radha K Sanka | Ophthalmology | The Eye Centers of Racine and Kenosha Ltd | 9916 75th St, Suite 101, Kenosha, WI 53142-7583 |
| Kanwar A Singh | Ophthalmology | The Eye Centers of Racine and Kenosha Ltd | 9916 75th St, Suite 101, Kenosha, WI 53142-7583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Rodrigo B Mata Iii | Internal Medicine | 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
| Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
| Find all physicians in zip 53142 | |||
| City | KENOSHA |
| Zip Code | 53142 |
| Specialty | OPTOMETRY |
| City + Specialty | KENOSHA + OPTOMETRY |
Please comment or provide details below to improve the information on Stephen J Pruett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.