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Contact Information

PRESTON EYE CLINIC LLC
108 SAINT ANTHONY ST. SOUTH
PRESTON, MN55965
 Phone: 507-765-3839
 Fax: 507-765-3839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PRESTON EYE CLINIC LLC

NPI # 1275614406
LBN Legal business name PRESTON EYE CLINIC LLC
Authorized official MICHAEL GORDON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # LD 1979000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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