STACEY A PRUITT OD,INC
NPI 1508322009
Optometrist in Greenfield, IN

Q: What is Stacey A Pruitt Od,inc's NPI number?

The NPI number for Stacey A Pruitt Od,inc is 1508322009. It was assigned to this organization in the NPPES registry on February 20, 2019.

Q: What is Stacey A Pruitt Od,inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since February 20, 2019

1250 N STATE ST, GREENFIELD, IN 46140(812) 614-1411 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stacey A Pruitt Od,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY A PRUITT OD,INC (NPI 1508322009) is a healthcare organization registered as an optometrist in Greenfield, Indiana and active in the NPI registry since February 2019. The organization lists Stacey A Pruitt, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1508322009

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSTACEY A PRUITT OD,INC

Location Address1250 N STATE STGreenfield, IN 46140-1055

Mailing Address10639 Windjammer CirIndianapolis, IN 46236-8934 · (812) 614-1411

Phone(812) 614-1411

Organization SubpartNo

Authorized OfficialStacey A PruittOptometrist · (812) 614-1411

Enumeration DateFebruary 20, 2019

✔ NPI 1508322009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1250 N STATE ST, Greenfield, IN 46140

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Other Identifiers 1

Medicaid300022485IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Pruitt Od,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stacey A Pruitt Od,inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stacey Pruitt, OD

Optometry

NPI 1700837069

1250 N STATE ST
Greenfield, IN 46140

(812) 614-1411

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey A Pruitt Od,inc's NPI number?

The NPI number for Stacey A Pruitt Od,inc is 1508322009. It was assigned to this organization in the NPPES registry on February 20, 2019.

Where is Stacey A Pruitt Od,inc located?

Stacey A Pruitt Od,inc is located at 1250 N State St, Greenfield, IN 46140. The listed phone number is (812) 614-1411.

What is Stacey A Pruitt Od,inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Stacey A Pruitt Od,inc enrolled in Medicare?

Yes. Stacey A Pruitt Od,inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stacey A Pruitt Od,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Stacey A Pruitt Od,inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stacey A Pruitt Od,inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stacey A Pruitt Od,inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey A Pruitt Od,inc was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.