Individual provider Active NPI

Hanna Marie Prendeville, OD

  • Optometrist
  • Saratoga Springs, NY
National Provider Identifier
1023902103
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011384 Issued in NY
Practice address
235 Washington St Ste 1
Saratoga Springs, NY 12866-5963
Phone
(518) 587-5900
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8324 MA
Optometrist 152W00000X 011384 NY Primary

Addresses

Primary practice location

235 Washington St Ste 1
Saratoga Springs, NY 12866-5963

Mailing address

235 Washington St Ste 1
Saratoga Springs, NY 12866-5963
Phone (518) 587-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8324MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Optometric Assoc, PC Optometrist PastSince Aug 11, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1023902103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WASHINGTON ST STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665963",
            "telephone_number": "518-587-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WASHINGTON ST STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665963",
            "telephone_number": "518-587-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDEVILLE",
        "first_name": "HANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT8324",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.