MEDICARE: PRATT VISION, LLC

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

General Provider Information

NPI Number	:	1619224540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRATT VISION, LLC

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	:	480-706-3065

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	:	480-706-3065

Authorized Official
Title or Position	:	MEMBER/OWNER/OPTOMETRIST
Name	:	MURRAY S PRATT
Credential	:	OD
Telephone Number	:	480-706-3060

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	02/11/2026

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Directions to “PRATT VISION, LLC ” Practice Location

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