| Prudhomme Vision Llc | |
|
194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042-8705 | |
| (860) 233-2668 | |
| Not Available |
| Full Name | Prudhomme Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 194 Buckland Hills Dr, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649504432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CT002725 (Connecticut) | Primary |
| Provider Name | Regan S Prudhomme |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548450588 PECOS PAC ID: 9931298098 Enrollment ID: I20071128000138 |
| Provider Name | Laura A Mafuz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447273719 PECOS PAC ID: 8729133343 Enrollment ID: I20090903000557 |
| Provider Name | Jeremy Prudhomme |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518151182 PECOS PAC ID: 7517263858 Enrollment ID: I20160315000417 |
| Provider Name | Haajra Ahmed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972164010 PECOS PAC ID: 1759717820 Enrollment ID: I20200208000095 |
| Provider Name | Ryan Earle White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326663071 PECOS PAC ID: 9537586466 Enrollment ID: I20200824002556 |
| Provider Name | Michelle Rodriguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447772140 PECOS PAC ID: 0749556124 Enrollment ID: I20201002001066 |
| Provider Name | Erica Lindsay Stokes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255986022 PECOS PAC ID: 6002248796 Enrollment ID: I20210930000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Prudhomme Vision Llc 12 Nottingham Blvd, Unionville, CT 06085-1185 Ph: (617) 448-9295 | Prudhomme Vision Llc 194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042-8705 Ph: (860) 233-2668 |
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 |