Dr David Lawrence Prudhomme, OD - Medicare Optometrist in Vicksburg, MS

Dr David Lawrence Prudhomme, OD is a medicare enrolled "Optometrist" provider in Vicksburg, Mississippi. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Riverbend Eyecare Pa and his current practice location is 3505 Pemberton Square Blvd, Suite 45, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 630-9199.

Dr David Lawrence Prudhomme is licensed to practice in Mississippi (license number MS 579) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1093901761.

Contact Information

Dr David Lawrence Prudhomme, OD
3505 Pemberton Square Blvd, Suite 45,
Vicksburg, MS 39180-5537
(601) 630-9199
(601) 630-9192

Map and Direction




Healthcare Provider's Profile

Full NameDr David Lawrence Prudhomme
GenderMale
SpecialityOptometry
Experience32 Years
Location3505 Pemberton Square Blvd, Vicksburg, Mississippi
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Lawrence Prudhomme graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1093901761
  • Provider Enumeration Date: 09/17/2007
  • Last Update Date: 09/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214066463
  • Enrollment ID: I20100526000409

Medical Identifiers

Medical identifiers for Dr David Lawrence Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093901761NPI-NPPES
00880004MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist MS 579 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverbend Eyecare Pa83251775792

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Lawrence Prudhomme allows following entities to bill medicare on his behalf.
Provider NameRiverbend Eyecare Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811957624
PECOS PAC ID: 8325177579
Enrollment ID: O20100526000309

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Lawrence Prudhomme is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr David Lawrence Prudhomme, OD
Po Box 821135,
Vicksburg, MS 39182-1135

Ph: (601) 630-9199
Dr David Lawrence Prudhomme, OD
3505 Pemberton Square Blvd, Suite 45,
Vicksburg, MS 39180-5537

Ph: (601) 630-9199

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.