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Organization

PRATT EYE CARE LLC

Active
Other names
Pratt 20/20 Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY PRATT O.D. (OPTOMETRIST)
(417) 678-2161
Entity
Organization

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
08/12/2013
Last updated
02/24/2015
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