PRUDHOMME VISION LLC (NPI# 1649504432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649504432 |
| Entity Type | Organization |
| Organization Name | PRUDHOMME VISION LLC |
| Practice Address |
194 Buckland Hills Dr Suite 1106 Manchester CT 06042-8705 |
| Mailing Address |
12 Nottingham Blvd Unionville CT 06085-1185 |
| Practice Telephone | 8602332668 |
| Mailing Telephone | 6174489295 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | DR. JEREMY EARL PRUDHOMME (MANAGER/OWNER) |
| Authorized Official Telephone | 6174489295 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CT002725 | CT | Eye and Vision Services Providers |
| Street Address |
194 BUCKLAND HILLS DR SUITE 1106 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740335207 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2007-01-24 |
| 1972164010 | Haajra Ahmed | Optometrist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2019-06-27 |
| 1528588183 | Roshanjit Kaur | Dentist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2017-06-26 |
| 1154798247 | Sph3 Enterprise LLC | Dentist | 194 Buckland Hills Dr, Suite 1076, Manchester, CT 06042-8705 | 2015-08-25 |
| 1972919686 | Kyung Seok Ko | Dentist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2014-07-02 |
| 1972893352 | Sph3 Enterprise, LLC | Dentist | 194 Buckland Hills Dr, Manchester, CT 06042-8705 | 2011-04-19 |
| 1548450588 | Regan Marquis Prudhomme | Optometrist | 194 Buckland Hills Dr, Suite 1106, Manchester, CT 06042 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836649 | Amanda Bilunas | Optometrist | 238 Tolland Tpke, G, Manchester, CT 06042-1744 | 2016-08-20 |
| 1457737447 | Samantha Mein | Optometrist | 581 2nd St, Manchester, NH 03102-5200 | 2015-08-03 |
| 1083098156 | Stephanie Sturgis | Optometrist | 397b Broad Street, Manchester, CT 06040 | 2015-07-17 |
| 1568703387 | Nicholas Olberding | Optometrist | 225 W Main St # 308, Manchester, IA 52057-1533 | 2013-03-04 |
| 1356692214 | Complete Family Eyecare, LLC | Optometrist | 238g Tolland Tpke, Manchester, CT 06042-5706 | 2012-10-01 |
| 1154698702 | Preventative & Regenerative Eye Care, LLC | Optometrist | 1107 Brittany Parkway Dr, Manchester, MO 63011-4327 | 2011-11-28 |
| 1891075727 | Bhavika Mahesh Patidar | Optometrist | 232 Maple Springs Dr, Manchester, TN 37355-3764 | 2011-08-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| 1932417870 | West County Eye Care LLC | Optometrist | 23 Stonegate Ctr, Manchester, MO 63088-1215 | 2010-09-14 |
| 1386957157 | Wei Zhu | Optometrist | 344 Buckland Hills Dr, Manchester, CT 06042-8700 | 2010-07-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.