Dr. David Lawrence Prudhomme is a Vicksburg, Mississippi based male Optometrist with 32 years of experience in Optometry. He completed his graduation from Other in 1992. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. David Lawrence Prudhomme is MS 579 for Optometry in Mississippi. Dr. David Lawrence Prudhomme 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. David Lawrence Prudhomme speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
32+ years
Medical School Attended:
Other
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
3505 Pemberton Square Blvd, Suite 45, Vicksburg, Mississippi, 39180-5537
Phone:
601-630-9199
Fax:
601-630-9192
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214066463
Enrollment ID:
I20100526000409
NPI Number:
1093901761
NPI Enumeration Date:
17 Sep, 2007
NPI Last Update On:
17 Sep, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. David Lawrence Prudhomme are as mentioned below.
License Number
Specialization
State
Status
MS 579
Optometry
Mississippi
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. David Lawrence Prudhomme has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Riverbend Eyecare Pa (8325177579)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. David Lawrence Prudhomme such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00880004
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 821135, Vicksburg, Mississippi
Zip:
39182-1135
Phone Number:
601-630-9199
Fax Number:
601-630-9192
Patients can reach Dr. David Lawrence Prudhomme at 3505 Pemberton Square Blvd, Suite 45, Vicksburg, Mississippi or can call to book an appointment on 601-630-9199. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.