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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOSEPH A PRUITT · (Male)

NPI # 1477752913
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/14/2007
Last updated 10/15/2024 - More than a year ago
Sole proprietor 1 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(s) Not Available
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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