Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer Carol Prunty, OD

Individual provider Optometrist · NPI 1164738795

Dr. Jennifer Carol Prunty, OD is an Optometrist in Portland, Oregon. Licensed in Florida and Oregon. Registered with an NPI since 2010.

Licensed in
FL, OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

300 N Graham St Ste 300
Portland, OR 97227-1683
Phone: (503) 413-3030
Fax: (503) 413-3113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3436AT (OR)
Optometrist Taxonomy 152W00000X · Licence OPC 4547 (FL)

Record details

NPI number1164738795
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 20, 2010
Last updated in NPPESJuly 21, 2014

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