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DR. EDDIE PRENDERGAST OD
NPI 1285885814
Optometrist in Summersville, WV

Active since October 01, 2008
651 WATER ST, SUMMERSVILLE, WV 26651(304) 872-5678(307) 872-5697 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eddie Prendergast Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDDIE PRENDERGAST OD (NPI 1285885814) is a healthcare organization registered as an optometrist in Summersville, West Virginia and active in the NPI registry since October 2008. The organization lists Eddie Leo Prendergast, Owner, as its authorized official.

NPPES Registry Identity

NPI1285885814
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. EDDIE PRENDERGAST OD
Location Address651 WATER STSummersville, WV 26651-1454
Mailing Address651 Water StSummersville, WV 26651-1454 · (304) 872-5678 · Fax (307) 872-5697
Phone(304) 872-5678
Fax(307) 872-5697
Organization SubpartNo
Authorized OfficialEddie Leo PrendergastOwner · (304) 872-5678
Enumeration DateOctober 1, 2008
Last NPPES UpdateNovember 7, 2008
✔ NPI 1285885814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WV · 666D
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 systemic conditions affecting the eye. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
651 WATER ST, Summersville, WV 26651
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Other Names 1

Doing Business AsDr. Eddie Prendergast Od

Other Identifiers 4

Medicare UPINT-32503WV
Medicare PIN9117344WV
Medicaid0150410000WV
Medicare NSC0371540001WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDMUND LEO PRENDERGAST JR. OD
Optometrist
651 WATER ST
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-5678
CAMDEN ON GAULEY MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
651 WATER ST
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-5678
DR. ALEXANDRA L HORNE OD FAAO
Optometrist
651 WATER ST
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-5678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Eddie Prendergast Od's NPI number?

The NPI number for Dr. Eddie Prendergast Od is 1285885814. It was assigned to this organization in the NPPES registry on October 1, 2008.

Where is Dr. Eddie Prendergast Od located?

Dr. Eddie Prendergast Od is located at 651 Water St, Summersville, WV 26651. The listed phone number is (304) 872-5678.

What is Dr. Eddie Prendergast Od's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Dr. Eddie Prendergast Od was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.