Gene D Prudhon is a Brodhead, Wisconsin based male Optometrist who is specialized in Optometry. Active license number of Gene D Prudhon is 1483 for Optometry in Wisconsin. Gene D Prudhon 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:
Gene D Prudhon 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.
Gender:
Male
Practice Address:
1005 17th St, Brodhead, Wisconsin, 53520-1855
Phone:
608-897-2128
Fax:
608-897-3937
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.
NPI Number:
1841285947
NPI Enumeration Date:
14 Sep, 2005
NPI Last Update On:
08 Feb, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gene D Prudhon are as mentioned below.
License Number
Specialization
State
Status
1483
Optometry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gene D Prudhon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38545800
Medicaid
Wisconsin
391904576017
Other
Wisconsin
BLUECROSS & BLUESHIELD
PRUDHGEN
Other
Wisconsin
MERCYCARE
1006622
Other
Wisconsin
PHYSICIANS PLUS
1483
Other
Wisconsin
LICENSE #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1005 17th St, Po Box 137 Brodhead, Wisconsin
Zip:
53520-1855
Phone Number:
608-897-2128
Fax Number:
608-897-3937
Patients can reach Gene D Prudhon at 1005 17th St, Brodhead, Wisconsin or can call to book an appointment on 608-897-2128. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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