| NPI | 1285885814 |
|---|---|
| Doing Business As | DR. EDDIE PRENDERGAST OD |
| Entity Type | Organization |
| Authorized Contact | EDDIE LEO PRENDERGAST Owner 304-872-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 666D) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-11-07 |