Donna Jo Pry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2003025361 Issued in MO

Practice address

200 W Park Mall
JC Penney Optical
Cape Girardeau, MO 63703-6341

Phone

(573) 335-1930

Fax

(573) 334-9493

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Usv Optical Inc.

  • Eyewear Supplier
  • Cape Girardeau, MO
  • NPI 1366463523
  NPD (past)
• Usv Optical Inc

  dba Specs for Less

  • Eyewear Supplier
  • Blackwood, NJ
  • NPI 1578891008

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467581066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W PARK MALL",
            "address_2": "JC PENNEY OPTICAL",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036341",
            "telephone_number": "573-335-1930",
            "fax_number": "573-334-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W PARK MALL",
            "address_2": "JC PENNEY OPTICAL",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036341",
            "telephone_number": "573-335-1930",
            "fax_number": "573-334-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRY",
        "first_name": "DONNA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003025361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER",
            "identifier": "216516",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Elaine Propst, C.R.N.A.
• Prorehab PC (Athletico Physical Therapy)
• Provider Plus LLC (AdaptHealth)
• Carolyn Marie Pruemer
• Eric Jerome Pruemer, CRNA
• PS James Enterprises, Inc (Comfort Keepers)
• Carisa Gayle Pursell, OTR
• Greg Pursley, D.C.
• Jacob P Pyeatte Jr., M.D.
• Quality Life in Home Care

• Optometrist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.