Eddie Prendergast Jr. (NPI# 1134165251, PAC ID# 2668535964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1134165251 |
PAC ID by PECOS | 2668535964 |
Professional Enrollment ID | I20090113000569 |
Full Name | Eddie Prendergast Jr. |
Address |
651 Water St Summersville WV 26651-1454 |
Phone Number | 3048725678 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1977 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
651 Water St, Summersville, WV 26651-1454 | 3048725678 |
Street Address |
651 WATER ST |
City | SUMMERSVILLE |
State | WV |
Zip | 26651-1454 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara M Holdren | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
Tonya Rachel Young | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
Kathy Hamon | Family Medicine | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
Crystal R Taylor | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
Elizabeth A Coffman | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
Sara Sanson | Nurse Practitioner | Camden On Gauley Medical Center Inc | 415 Main St, Summersville, WV 26651-1343 |
Thomas Goodwin | Chiropractic | 1018 Broad St, Summersville, WV 26651-1711 | |
Christa M Degidio | Physical Medicine and Rehabilitation | Mountaineer Physical Therapy and Sports Medicine | 207 Merchants Walk, Summersville, WV 26651-1901 |
Richard S Trenbath | Family Medicine | 211 Merchants Walk, Summersville, WV 26651-1901 | |
Stephen M Young | Physical Therapy | Mountaineer Physical Therapy and Sports Medicine | 207 Merchants Walk, Summersville, WV 26651-1901 |
Find all physicians in zip 26651 |
City | SUMMERSVILLE |
Zip Code | 26651 |
Specialty | OPTOMETRY |
City + Specialty | SUMMERSVILLE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.