Individual provider Active NPI

William Fred Prestowitz, MD

  • Ophthalmology Physician
  • Abingdon, VA
National Provider Identifier
1235122151
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101043622 Issued in VA
Practice address
340 W Main St
Abingdon, VA 24210-2624
Phone
(276) 628-3118
Fax
(276) 628-8342
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101043622 VA Primary

Addresses

Primary practice location

340 W Main St
Abingdon, VA 24210-2624

Mailing address

340 W Main St
Abingdon, VA 24210-2624
Phone (276) 628-3118

Other identifiers 2

IdentifierTypeStateIssuer
180006507OtherVARAILROAD MEDICARE
006348416MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Southwest Virginia PC CurrentSince May 22, 2022 Accepting new patients
Eye Physicians Optical Center Past Accepting new patients

Locations

328 Cummings St
Ste A
Abingdon, VA 24210
Phone (276) 477-4600

340 W Main St
Abingdon, VA 24210
Phone (276) 628-3118

Interoperability endpoints

  • Direct secure messaging: prestowitzw@eyephysiciansofswva.updoxdirect.com

Organizations & group practices 2

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1235122151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102624",
            "telephone_number": "276-628-3118",
            "fax_number": "276-628-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102624",
            "telephone_number": "276-628-3118",
            "fax_number": "276-628-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTOWITZ",
        "first_name": "WILLIAM",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101043622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180006507",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006348416",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.