Prudhomme Vision LLC

NPI #1649504432 in Manchester, Connecticut

Provider Information

NPI Number: 1649504432
Entity Type: Organization
Organization Name: Prudhomme Vision LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 25, 2009
Last Updated: Mar 14, 2016

Practice Location

Address: 194 BUCKLAND HILLS DR
Address 2: SUITE 1106
City: Manchester
State: Connecticut
ZIP Code: 06042-8705
Phone: (860) 233-2668

Authorized Official

Name: DR. JEREMY EARL PRUDHOMME, O.D.
Title: MANAGER/OWNER
Phone: (617) 448-9295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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