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Contact Information

REGAN M PRUDHOMME, OD
194 BUCKLAND HILLS DR
SUITE 1106
MANCHESTER, CT06042
 Phone: 860-644-3364
 Fax: 860-667-4377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for REGAN M PRUDHOMME · (Female)

NPI Number 1548450588
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/26/2007
Last updated 04/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002721
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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