DR. Edmund Leo Prendergast JR., OD

NPI #1134165251 in Summersville, West Virginia

Provider Information

NPI Number: 1134165251
Entity Type: Individual
Name: DR. Edmund Leo Prendergast JR., OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 20, 2006
Last Updated: Aug 18, 2022

Practice Location

Address: 651 WATER ST
City: Summersville
State: West Virginia
ZIP Code: 26651
Phone: (304) 872-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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