Individual
DR. EDMUND LEO PRENDERGAST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
651 WATER ST, SUMMERSVILLE, WV 26651
(304) 872-5678
(304) 872-5697
Mailing address
PO BOX 69, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 872-5697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
666D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150410000
—
WV
Enumeration date
06/20/2006
Last updated
08/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us