Individual
SCOTT R PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3940 VIA DEL REY, BONITA SPRINGS, FL 34134-7592
(239) 466-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-3035
(864) 359-1308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP002554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250273900
—
FL
01
—
P4949
PTAN
FL
Enumeration date
08/25/2005
Last updated
07/21/2025
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