Individual
DR. LEON J. PENDRACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
117 THREE SPRINGS DR # 3, WEIRTON, WV 26062-3827
(304) 748-2055
(304) 748-2054
Mailing address
117 THREE SPRINGS DR # 3, WEIRTON, WV 26062-3827
(304) 748-2055
(304) 748-2054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
632-OD
WV
152W00000X
Optometrist
OEG000825
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150384000
—
WV
Enumeration date
08/21/2006
Last updated
01/23/2014
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