National Provider Identifier Database

JOSEPH A PRUITT, OD – NPI #1477752913
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JOSEPH A PRUITT, OD
26025 NEWPORT RD
STE. F #455
MENIFEE, CA92584
Phone: 651-395-7585
Fax: 651-395-7585
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JOSEPH A PRUITT

NPI Number 1477752913
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/14/2007
Last updated 10/15/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 13429
  • CO License #: OPT.0003894
  • FL License #: TPOP155
  • GA License #: OPT002454
  • KY License #: 2092
  • LA License #: 2022-968AT
  • MD License #: TA2933
  • MN License #: 3130
  • OK License #: 3004
  • PA License #: OEG004053
  • TN License #: 2753
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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