DR. JOSEPH ALLAN PRUITT (O.D.) – Optometrist, NPI 1477752913
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,935 OPTOMETRY in CA
Provider Addresses for DR. JOSEPH ALLAN PRUITT (O.D.)
Winchester, Benton Charter Township, Berrien County, Michigan, 49022, United States
SUTIE C-302 #387
WINCHESTER, CA 925968442
Phone: (651) 395-7585
Fax: (651) 395-7585
Type: Mailing
26025 NEWPORT RD
STE. F #455
MENIFEE, CA 92584
Phone: (651) 395-7585
Fax: (651) 395-7585
Type: Mailing
11980, Mount Vernon Avenue, Grand Terrace, San Bernardino County, California, 92313, United States
GRAND TERRACE, CA 92313
Phone: (951) 654-0803
Fax: (951) 487-6759
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080508000415 | I | Optometry | CA | TBD |
| I20160523001028 | I | Optometry | TX | TBD |
| I20230320002083 | I | Optometry | GA | TBD |
| I20230414000908 | I | Optometry | CO | TBD |
| I20230725004188 | I | Optometry | MN | TBD |
| I20230807002674 | I | Optometry | MD | TBD |
| I20230814001811 | I | Optometry | PA | TBD |
| I20230922003243 | I | Optometry | KY | TBD |
| I20231220004132 | I | Optometry | DC | TBD |
| I20240213001287 | I | Optometry | OK | TBD |
| I20240706000441 | I | Optometry | LA | TBD |
| I20260127004694 | I | Optometry | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92596)
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