Whalio Doctors

NPI 1285885814

Dr. Eddie Prendergast OD

Organisation Optometrist Summersville, WV

Practice location

Address
651 Water St, Summersville, WV 26651-1454
Phone
(304) 872-5678
Fax
(307) 872-5697

Authorised official

Name
Eddie Leo Prendergast
Title
Owner
Phone
(304) 872-5678

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 666D (WV)

Registry record

NPI
1285885814
Entity type
Organization
NPI issued
1 Oct 2008
Record last updated
7 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.