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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