Dr Regan Marquis Prudhomme, OD | |
194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042 | |
(860) 644-3364 | |
(860) 667-4377 |
Full Name | Dr Regan Marquis Prudhomme |
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Gender | Female |
Speciality | Optometrist |
Location | 194 Buckland Hills Dr, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548450588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 002721 (Connecticut) | Primary |
Provider Name | Prudhomme Vision Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649504432 PECOS PAC ID: 6709182041 Enrollment ID: O20160311001107 |
Mailing Address | Practice Location Address |
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Dr Regan Marquis Prudhomme, OD 194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042 Ph: (860) 644-3364 | Dr Regan Marquis Prudhomme, OD 194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042 Ph: (860) 644-3364 |
Dr. Jennifer L Stroh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 178 Hartford Rd, Manchester, CT 06040 Phone: 860-649-9973 | |
George Raymond Stimac, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 125 Buckland Hills Dr, @ Target Optical, Manchester, CT 06042 Phone: 860-327-0085 Fax: 860-327-0087 | |
Dr. Christina Vu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 190 Buckland Hills Dr, Manchester, CT 06042 Phone: 860-644-7541 Fax: 860-648-2102 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1470d Pleasant Valley Rd, Manchester, CT 06042 Phone: 860-812-6267 | |
Robert T Yarosh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 164 E Center St, Manchester, CT 06040 Phone: 860-649-2020 Fax: 860-643-1252 | |
Dr. Danielle Gurciullo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 362 Middle Tpke W, Manchester, CT 06040 Phone: 860-649-3311 Fax: 860-533-1960 | |
Lance I Alpert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 362 West Middle Tpke, Manchester, CT 06040 Phone: 860-649-3311 Fax: 860-533-1960 |