Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDMUND LEO PRENDERGAST JR., OD
ActiveDR. EDMUND LEO PRENDERGAST JR., OD is a Optometrist healthcare provider located in SUMMERSVILLE, West Virginia. NPI 1134165251 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SUMMERSVILLE, WV
Registration Details
- NPI Number
- 1134165251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2006 (20.125296089776 yrs)
- Last Updated
- Aug 18, 2022
- License
-
666D (WV)
Practice Information
- Address
-
651 WATER STSUMMERSVILLE, WV, 26651Browse WV providers · Browse ZIP 26651
- Phone
- 3048725678
- Fax
- 3048725697
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SUMMERSVILLE, WV
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN MORGAN CLINE | O.D. | 1578698205 |
| DR. WILLIAM E PUGH III | O.D. | 1821289745 |
| DR. ALEXANDRA L HORNE | OD FAAO | 1972027894 |
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.