Organization
PRUDHOMME VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY EARL PRUDHOMME O.D. (MANAGER/OWNER)
(617) 448-9295
Entity
Organization
Contact information
Practice address
194 BUCKLAND HILLS DR, SUITE 1106, MANCHESTER, CT 06042-8705
(860) 233-2668
Mailing address
12 NOTTINGHAM BLVD, UNIONVILLE, CT 06085-1185
(617) 448-9295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT002725
CT
Other
Enumeration date
09/25/2009
Last updated
03/14/2016
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