<unavail> in Summersville, WV - Medicare Optometrist Provider

is a medicare enrolled "Optometrist" provider in Summersville, West Virginia. Their current practice location is 669 W Webster Rd, Summersville, West Virginia. You can reach out to their office (for appointments etc.) via phone at (304) 872-1400.

is licensed to practice in West Virginia (license number 810D) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1053505008.

Contact Information


	669 W Webster Rd, Summersville, WV 26651-1058
	(304) 872-1400
	(304) 872-1306

Map and Direction

Healthcare Provider's Profile

Full Name
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.

NPI Data:

NPI Number: 1053505008
Provider Enumeration Date: 09/04/2007
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 2062589674
Enrollment ID: O20080924000297

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053505008	NPI	-	NPPES
0149270000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	810D (West Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	John M Cline
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1578698205 PECOS PAC ID: 4082781695 Enrollment ID: I20080924000271

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
200 Wal St, Summersville, WV 26651-2100 Ph: (304) 872-1400	669 W Webster Rd, Summersville, WV 26651-1058 Ph: (304) 872-1400

Reviews and Comments

Optometrist in Summersville, WV

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
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
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

- Medicare Optometrist in Summersville, WV