Individual provider · Type 1 NPI

Jennifer Carol Prunty, OD

Optometrist · Portland, OR

NPI number 1164738795 Active

Practice location

300 N Graham St, Suite 300
Portland, OR 97227-1683

Fax (503) 413-3113

Mailing address

4202 SW Corbett Ave
Portland, OR 97239-4259

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XOPC 4547 (FL)
Optometrist Primary 152W00000X3436AT (OR)

Optometrist: 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 e…

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About NPI 1164738795

Jennifer Carol Prunty, OD's National Provider Identifier is 1164738795, issued on Aug 20, 2010. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2014.