Organization
PRESTON EYE CLINIC LLC
Active
Other names
Spring Valley Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W. GORDON O.D. (OWNER)
(507) 765-3839
Entity
Organization
Contact information
Practice address
108 SAINT ANTHONY ST. SOUTH, PRESTON, MN 55965
(507) 765-3839
(507) 765-3839
Mailing address
108 SAINT ANTHONY ST. SOUTH, PO BOX 660, PRESTON, MN 55965
(507) 765-3839
(507) 765-3839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LD 1979000
MN
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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