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Search › Connecticut › 152W00000X

Jeremy Prudhomme, O.D

NPI 1518151182 · on the registry since 2007

Practice

Address
495 Union St Ste 1082
Waterbury, CT 06706
Phone
(203) 591-8353
Organisation at this address
Luxottica Of America Inc.
Brass Mill Mall Dental L.L.P
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut