Dr David Lawrence Prudhomme, OD 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 Name	Dr David Lawrence Prudhomme
Gender	Male
Speciality	Optometry
Experience	32 Years
Location	3505 Pemberton Square Blvd, Vicksburg, Mississippi
Accepts Medicare Assignments	May 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.

Identifier	Type	State	Issuer
1093901761	NPI	-	NPPES
00880004	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	MS 579 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverbend Eyecare Pa	8325177579	2

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 Name	Riverbend Eyecare Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI 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 Address	Practice 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

Optometrist in Vicksburg, MS

Dr. Kelby Warren Flemons, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081
Collins Eye Clinic Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 Fax: 601-638-2171
Dr. Jill Frier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2152 Iowa Blvd, Vicksburg, MS 39180 Phone: 601-636-3937 Fax: 601-638-0944
Miles David Ashley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1808 Mission 66, Vicksburg, MS 39180 Phone: 601-636-6364 Fax: 601-636-1162
Southern Eye Care Of Vicksburg Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081
Dr. C. Chris Collins, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 Fax: 601-638-2171

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