Edmund Leo Prendergast in Summersville - Optometrist
Edmund Leo Prendergast - NPI 1134165251
Edmund Leo Prendergast is a Optometrist in Summersville, . Edmund Leo Prendergast practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Edmund Leo Prendergast is 1134165251. The last update date is 2022-08-18.
Edmund Leo Prendergast's current location address is 651 Water St, Summersville, . You can contact this provider via phone number 3048725678 and fax number 3048725697. The mailing address for Edmund Leo Prendergast is 651 Water St, Summersville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edmund Leo Prendergast |
|---|---|
| Address | 651 Water St, Summersville, |
| Phone Number | 3048725678 |
| Fax Number | 3048725697 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1134165251 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2022-08-18 |
Provider Mailing Address Detail
| Address | 651 Water St |
|---|---|
| City | Summersville |
| State | (WV) |
| Post Code | 26651 |
| Phone Number | 3048725678 |
| Fax Number | 3048725697 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 666D |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150410000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edmund Leo Prendergast by the Centers for Medicare & Medicaid Services?
The Edmund Leo Prendergast has been assigned the NPI (National Provider Identifier) 1134165251. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edmund Leo Prendergast is located?
The Edmund Leo Prendergast is situated at the following address: 651 Water St, Summersville, WV, 26651.
What is the Edmund Leo Prendergast's area of specialization and corresponding taxonomy classification?
The Edmund Leo Prendergast's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Edmund Leo Prendergast receive its 1134165251 assignment from the Centers for Medicare & Medicaid Services?
The Edmund Leo Prendergast was assigned its 1134165251 by the Centers for Medicare & Medicaid Services on 2006-06-20.
As of what date were the Edmund Leo Prendergast's details last updated?
The information pertaining to the Edmund Leo Prendergast, including its address, specialty, and other details, was most recently updated on 2022-08-18.
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