Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Kondrot, MD

Individual provider Ophthalmology Physician · NPI 1497368336

Edward Kondrot, MD is an Ophthalmology in Clearlake, California. Graduated from Hahnemann University College of Medicine in 1977, 49 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
49
Trained at
Hahnemann University College of Medicine
Licensed in
CA, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (707) 995-4518
Fax: (707) 995-4526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 487 S Main St, Lakeport, CA 95453-5315 — (707) 995-5663
  • 303 1st St, Charleroi, PA 15022-1427 — (724) 485-9099

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence G89041 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD021475E (PA)

Record details

NPI number1497368336
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2020
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address15230 Lakeshore Dr, Clearlake, CA 95422-8107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1977 (49 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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