Pruitt Optometric Eye Care LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRUITT OPTOMETRIC EYE CARE LTD

Practice address

26025 Newport Rd.
Ste. F #455
Menifee, CA 92584-7309

Phone

(651) 395-7585

Fax

(651) 395-7585

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Pruitt, ODNPI 1477752913

Title

President/Ceo

Phone

(651) 395-7585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Allan Pruitt, O.D.

  • Optometrist
  • Menifee, CA
  • NPI 1477752913
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1508691791",
    "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": "925847309",
            "telephone_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": "925847309",
            "telephone_number": "651-395-7585",
            "fax_number": "651-395-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITT OPTOMETRIC EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "651-395-7585",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurel Janene Quartaro, RDA
• Anna Marie Quesada, RDMS (ABD)

• 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 Sep 5, 2024; 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.