Dr. Edmund Leo Prendergast Jr. is a Summersville, West Virginia based male Optometrist with 47 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1977. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Edmund Leo Prendergast Jr. is 666D for Optometry in West Virginia. Dr. Edmund Leo Prendergast Jr. 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Edmund Leo Prendergast Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
47+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1977
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
651 Water St, Summersville, West Virginia, 26651
Phone:
304-872-5678
Fax:
304-872-5697
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2668535964
Enrollment ID:
I20090113000569
NPI Number:
1134165251
NPI Enumeration Date:
20 Jun, 2006
NPI Last Update On:
18 Aug, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edmund Leo Prendergast Jr. are as mentioned below.
License Number
Specialization
State
Status
666D
Optometry
West Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edmund Leo Prendergast Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0150410000
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 69, Camden On Gauley, West Virginia
Zip:
26208-0069
Phone Number:
304-226-5725
Fax Number:
304-872-5697
Patients can reach Dr. Edmund Leo Prendergast Jr. at 651 Water St, Summersville, West Virginia or can call to book an appointment on 304-872-5678. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.