Macey Pruett, OD
Optometrist in Wichita, KS. Individual provider (NPI-1).
NPI number1710463500
StatusActive
Last updated in NPPESJul 14, 2018
Details
- NPI
- 1710463500
- Entity type
- Individual (NPI-1)
- Name
- Macey Pruett
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2018
- Last updated
- Jul 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2084 | KS | Yes |
Practice location
982 N Tyler Rd Ste AWichita, KS 67212-3271
Phone 316-722-6452 · Fax 316-722-6001
Mailing address
540 N Doris StWichita, KS 67212-2431
Phone 316-680-5346
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All 216 Optometrist providers in Wichita · All 13,560 providers in Wichita
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