Individual
DR. PAUL PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
385 W MARKET, MALL OF AMERICA, BLOOMINGTON, MN 55425-5523
(952) 854-4500
(952) 858-8525
Mailing address
385 W MARKET, MALL OF AMERICA, BLOOMINGTON, MN 55425-5523
(952) 854-4500
(952) 858-8525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183M3PR
BCBS/MN ST LOUIS PK
MN
01
—
2200266
MEDICA/UNITED HEALTH CARE
MN
01
—
2202539
MEDICA/UNITED HEALTH CARE
MN
01
—
2219201
AMERICA'S PPO
MN
01
—
299K8PR
MOA
MN
05
—
370517000
—
MN
01
—
MN2559
EYEMED
MN
Enumeration date
09/07/2006
Last updated
05/12/2010
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