Individual
BRUCE WELTON PRATTE
Active
Individual
BRUCE WELTON PRATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2836/T601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005257
ANTHEM BLUE CROSS BLUE SH
OH
05
—
0134367
—
OH
01
—
2220168
UNITED HEALTH CARE
OH
Enumeration date
07/18/2006
Last updated
11/28/2011
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