| Dr Gerald Donald Prudhomme, OD | |
|
601-635 Harry L Dr, Suite 55, Johnson City, NY 13790-1246 | |
| (607) 797-3519 | |
| (607) 798-9009 |
| Full Name | Dr Gerald Donald Prudhomme |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 601-635 Harry L Dr, Johnson City, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649313867 | NPI | - | NPPES |
| 01068060 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T003782-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Donald Prudhomme, OD 340 Meeker Rd, Vestal, NY 13850-3230 Ph: (607) 754-8743 | Dr Gerald Donald Prudhomme, OD 601-635 Harry L Dr, Suite 55, Johnson City, NY 13790-1246 Ph: (607) 797-3519 |
Scott F. Hage, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 240 Riverside Dr, Suite One, Johnson City, NY 13790 Phone: 607-729-2102 Fax: 607-729-2034 | |
Dr. Kathleen Marie Gaynor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 48 Harrison Street, Johnson City, NY 13790 Phone: 607-729-5016 Fax: 607-729-7574 | |
Dr. Tracy Lynn Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 223 Reynolds Road, Johnson City, NY 13790 Phone: 607-729-9179 Fax: 607-729-9281 | |
Dr. Gary Michael Pisanchyn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 530 Columbia Dr, Johnson City, NY 13790 Phone: 607-729-5016 Fax: 607-729-7574 | |
Dr. Steven Emil Goldenberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 48 Harrison Street, Johnson City, NY 13790 Phone: 607-729-5016 Fax: 607-729-7574 | |
Dr. Lois Knack Hage, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 Reynolds Rd, Sears Optical, Oakdale Mall,, Johnson City, NY 13790 Phone: 607-797-6071 |