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DR. GERALD DONALD PRUDHOMME O.D.
NPI 1649313867
Optometrist in Johnson City, NY

Active since February 15, 2007
601-635 HARRY L DR, SUITE 55, JOHNSON CITY, NY 13790(607) 797-3519(607) 798-9009 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerald Donald Prudhomme O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERALD DONALD PRUDHOMME O.D. (NPI 1649313867) is an individual optometrist in Johnson City, New York, licensed in New York (T003782-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1649313867
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GERALD DONALD PRUDHOMMECredential: O.D.
Location Address601-635 HARRY L DR, SUITE 55Johnson City, NY 13790-1246
Mailing Address340 Meeker RdVestal, NY 13850-3230 · (607) 754-8743 · Fax (607) 798-9009
Phone(607) 797-3519
Fax(607) 798-9009
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1649313867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · T003782-1
Definition
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.
601-635 HARRY L DR, Johnson City, NY 13790
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Other Identifiers 3

Medicare UPINU21407NY
Medicare ID-Type Unspecified51966BNY · Medicare Prov. Number
Medicaid01068060NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIENGSAMAY J CHAMLEUNSOUK
Technician/Technologist (Ophthalmic)
601-635 HARRY L DR, STERLING OPTICAL
JOHNSON CITY, NY 13790
Broome County (607) 729-9179
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
601-635 HARRY L DR, OAKDALE MALL
JOHNSON CITY, NY 13790
Broome County (607) 797-0414
OAKDALE MALL DENTAL LLP
Dentist
601-635 HARRY L DR, 46
JOHNSON CITY, NY 13790
Broome County (607) 770-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Prudhomme's NPI number?

The NPI number for Gerald Prudhomme is 1649313867. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Gerald Prudhomme located?

Gerald Prudhomme practices at 601-635 Harry L Dr Suite 55, Johnson City, NY 13790. The listed phone number is (607) 797-3519.

What is Gerald Prudhomme's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Gerald Prudhomme was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.