Individual
LARRY F PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
930 S ELLIOTT AVE, AURORA, MO 65605-2402
(417) 678-2161
(417) 678-2241
Mailing address
PO BOX 676, AURORA, MO 65605-0676
(417) 678-2161
(417) 678-2241
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310574918
—
MO
Enumeration date
03/05/2007
Last updated
10/29/2024
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