Individual
DR. HANNA MARIE PRENDEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(518) 812-4820
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-3165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8324
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
02/24/2026
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