MEDICARE: MURRAY S PRATT O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1809	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3362111	OTHER	AZ	UNITED HEALTH CARE
2	1184910440	OTHER	AZ	BC/BS

General Provider Information

NPI Number	:	1184910440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURRAY S PRATT O.D.

Provider Business Mailing Address
First Line	:	15810 S 45TH ST STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7655
Country	:	US
Telephone Number	:	480-706-3060
Fax Number	:

Provider Business Practice Location Address
First Line	:	15810 S 45TH ST STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7655
Country	:	US
Telephone Number	:	480-706-3060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	09/04/2025

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Directions to “ MURRAY S PRATT O.D.” Practice Location

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