PRUDHOMME VISION LLC
NPI 1649504432
Optometrist in Manchester, CT
About Prudhomme Vision Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRUDHOMME VISION LLC (NPI 1649504432) is a healthcare organization registered as an optometrist in Manchester, Connecticut and active in the NPI registry since September 2009. The organization lists Jeremy Earl Prudhomme, Manager/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prudhomme Vision Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Prudhomme Vision LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Manchester, CT 06042
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prudhomme Vision LLC's NPI number?
The NPI number for Prudhomme Vision LLC is 1649504432. It was assigned to this organization in the NPPES registry on September 25, 2009.
Where is Prudhomme Vision LLC located?
Prudhomme Vision LLC is located at 194 Buckland Hills Dr Suite 1106, Manchester, CT 06042. The listed phone number is (860) 233-2668.
What is Prudhomme Vision LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Prudhomme Vision LLC enrolled in Medicare?
Yes. Prudhomme Vision LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prudhomme Vision LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Prudhomme Vision LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Prudhomme Vision LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Prudhomme Vision LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Prudhomme Vision LLC was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Prudhomme Vision Llc · NPI 1649504432
Optometrist organization in Manchester, Connecticut. Organization record, active in the CMS NPPES registry since September 25, 2009.
## Identity
- **NPI:** 1649504432 (Entity type: Organization)
- **Enumerated:** September 25, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Prudhomme, MANAGER/OWNER
## Practice location
- **Address:** 194 BUCKLAND HILLS DR, SUITE 1106, Manchester, CT 06042-8705
- **Phone:** (860) 233-2668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1649504432) · Data from the CMS NPPES public registry.