Pratt Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02302 Issued in MO

Legal business name

PRATT EYE CARE LLC

Doing business as

Pratt 20/20 Eyecare

Practice address

930 S Elliott Ave
Aurora, MO 65605-2402

Phone

(417) 678-2161

Fax

(417) 678-2241

NPI assigned

Aug 12, 2013

Last updated

Feb 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Pratt, O.D.NPI 1033248901

Title

Optometrist

Phone

(417) 678-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pratt 20/20 Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry F Pratt, O.D.

  • Optometrist
  • Aurora, MO
  • NPI 1033248901
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1477986651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656050676",
            "telephone_number": "417-678-2161",
            "fax_number": "417-678-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S ELLIOTT AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052402",
            "telephone_number": "417-678-2161",
            "fax_number": "417-678-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "417-678-2161",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310574918",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pratt 20/20 Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Parker
• Allison Patton
• Paul B Andelin MD PC
• Jared Allen Pendergrass, PA-C
• Bryan Porter, PHARMD
• Larry F Pratt, O.D.
• Preferred Family Healthcare
• Preferred Family Healthcare
• Preferred Family Healthcare
• Preferred Family Healthcare, Inc.

• Optometrist in Aurora, MO
• Providers in Aurora, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.