Organization
CONNECTICUT VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN PRUDHOMME OD (OPTOMETRIST)
(617) 416-9689
Entity
Organization
Contact information
Practice address
812 PARK AVE, BLOOMFIELD, CT 06002-2417
(860) 769-2020
Mailing address
12 NOTTINGHAM BLVD, UNIONVILLE, CT 06085-1185
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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