| Dr Jeremy Earl Prudhomme, OD | |
|
495 Union St Ste 1082, Waterbury, CT 06706-1285 | |
| (203) 591-8353 | |
| Not Available |
| Full Name | Dr Jeremy Earl Prudhomme |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 495 Union St Ste 1082, Waterbury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518151182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2725 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prudhomme Vision Llc | 6709182041 | 4 |
| Provider Name | Prudhomme Vision Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649504432 PECOS PAC ID: 6709182041 Enrollment ID: O20160311001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Earl Prudhomme, OD 495 Union St Ste 1082, Waterbury, CT 06706-1285 Ph: (203) 591-8353 | Dr Jeremy Earl Prudhomme, OD 495 Union St Ste 1082, Waterbury, CT 06706-1285 Ph: (203) 591-8353 |
Dr. Dana Lynn Shepard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 | |
Dana L Shepard Od & Associates Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 | |
Dr Binh Moore And Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 425 Union St, Waterbury, CT 06706 Phone: 203-757-7120 | |
Dr. Audrey S Fung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 Fax: 203-756-7316 | |
Dr. Frank Restivo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 495 Union St Ste 1082, Waterbury, CT 06706 Phone: 203-591-8353 | |
Xiuyang Guo, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 87 Grandview Ave, Waterbury, CT 06708 Phone: 203-805-7022 | |
New Insight Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1320 W Main St, Waterbury, CT 06708 Phone: 203-755-4941 Fax: 203-573-8372 |