Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENE D PRUDHON, O.D.
ActiveGENE D PRUDHON, O.D. is a Optometrist healthcare provider located in BRODHEAD, Wisconsin. NPI 1841285947 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BRODHEAD, WI
Registration Details
- NPI Number
- 1841285947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2005 (20.911473214248 yrs)
- Last Updated
- Feb 8, 2011
- License
-
1483 (WI)
Practice Information
- Address
-
1005 17TH STBRODHEAD, WI, 535201855Browse WI providers · Browse ZIP 53520
- Phone
- 6088972128
- Fax
- 6088973937
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.