Individual
STACEY A PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1250 N STATE ST, GREENFIELD, IN 46140-1055
(812) 614-1411
(317) 462-6342
Mailing address
10639 WINDJAMMER CIR, INDIANAPOLIS, IN 46236-8934
(812) 614-1411
(317) 462-6342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003010A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200291080
—
IN
01
—
P00447876
MEDICARE ID NUMBER
IN
Enumeration date
05/12/2006
Last updated
03/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us