Joseph Allan Pruitt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2022-968AT Issued in LA

Practice address

26025 Newport Rd
Ste. F #455
Menifee, CA 92584

Phone

(651) 395-7585

Fax

(651) 395-7585

NPI assigned

Jul 14, 2007

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 11

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX, GA, CO, MN, MD, PA, KY, DC, OK, LA, TN12 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 12

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Yah VisionGroup PAC ID 8628328010, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (60 of 67)

Locations (25 of 82)

Interoperability endpoints

• Direct secure messaging: joseph.pruitt.1@11331.direct.athenahealth.com

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.

• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment Care Compare group NPD
• Yah Vision

  dba Young at Heart Pueblo Kids Vision

  • Optometrist
  • Pueblo, CO
  • NPI 1417461823
  Medicare reassignment Care Compare group NPD
• Fifth Optometric Care of California

  • Optometrist
  • San Jose, CA
  • NPI 1215627914
  Medicare reassignment NPD
• Riverside-San Bernardino County Indian Health, Inc.

  dba San Manuel Indian Health

  • Federally Qualified Health Center (FQHC)
  • Grand Terrace, CA
  • NPI 1174676670

  Multi-Specialty, TX

  Medicare reassignment NPD
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• Troy Humphreys OD Faao, Professional Corporation

  dba Legacy Optometry

  • Optometrist
  • Susanville, CA
  • NPI 1326660960
  Medicare reassignment NPD
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1952301129
  Medicare reassignment NPD
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1013584960

  Optometrist

  Medicare reassignment NPD
• Aeg Kentucky Professional, PLLC

  • Optometrist
  • Alton, IL
  • NPI 1467214080

  KY

  Medicare reassignment NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811

  PA

  Medicare reassignment NPD
• Aeg Pennsylvania Professional Inc

  dba Eyes on Regent Square

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  Medicare reassignment NPD
• Artis Beatty a Professional Optometry Corporation

  dba MyEyeDr.

  • Optometrist
  • Jefferson, LA
  • NPI 1912416355
  Medicare reassignment NPD

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1477752913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26025 NEWPORT RD",
            "address_2": "STE. F #455",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "651-395-7585",
            "fax_number": "651-395-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26025 NEWPORT RD",
            "address_2": "STE. F #455",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "651-395-7585",
            "fax_number": "651-395-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "JOSEPH",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP155",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13429",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3004",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003894",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002454",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2092",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3130",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004053",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2933",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2753",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2022-968AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Thomas Prause
• Premier Behavioral Services LLC
• Premier Hospitalist & Post-Acute Group, Inc.
• Prestige Concierge Nursing
• Pruitt Optometric Eye Care LTD
• Pumphrey Patch Kidz, a Professional Medical Corporation
• Quality Mobile Imaging LLC (Qmi)
• Laurel Janene Quartaro, RDA
• Anna Marie Quesada, RDMS (ABD)
• Leslie Quezada

• Optometrist in Menifee, CA
• Providers in Menifee, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.