| John M Cline Od Inc | |
|
669 W Webster Rd, Summersville, WV 26651-1058 | |
| (304) 872-1400 | |
| (304) 872-1306 |
| Full Name | John M Cline Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 669 W Webster Rd, Summersville, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053505008 | NPI | - | NPPES |
| 0149270000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 810D (West Virginia) | Primary |
| Provider Name | John M Cline |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578698205 PECOS PAC ID: 4082781695 Enrollment ID: I20080924000271 |
| Provider Name | William Pugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821289745 PECOS PAC ID: 6002967577 Enrollment ID: I20090623000343 |
| Mailing Address | Practice Location Address |
|---|---|
| John M Cline Od Inc 200 Wal St, Summersville, WV 26651-2100 Ph: (304) 872-1400 | John M Cline Od Inc 669 W Webster Rd, Summersville, WV 26651-1058 Ph: (304) 872-1400 |
Dr. Edmund Leo Prendergast Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678 Fax: 304-872-5697 | |
Dr. Eddie Prendergast Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678 Fax: 307-872-5697 | |
Dr. John Morgan Cline, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 669 W Webster Rd, Summersville, WV 26651 Phone: 304-872-1400 Fax: 304-872-1400 | |
Dr. William E Pugh Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Wal St, Summersville, WV 26651 Phone: 304-872-1400 | |
Camden On Gauley Medical Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678 Fax: 304-226-3274 | |
Dr. Alexandra L Horne, OD FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678 |