Active NPI
William Fred Prestowitz, MD
- Ophthalmology Physician
- Abingdon, VA
National Provider Identifier
1235122151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101043622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180006507 | Other | VA | RAILROAD MEDICARE |
| 006348416 | Medicaid | VA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians of Southwest Virginia PC | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Abingdon, VA
- NPI 1407820210
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1376517326
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.