Individual
KENNETH ROBERT PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTITIAN
Contact information
Practice address
1516 U STREET NW, LOWER LEVEL, WASHINGTON, DC 20009-8004
(202) 299-9109
(202) 299-9109
Mailing address
1516 U STREET NW #LL, WASHINGTON, DC 20009-8004
(202) 299-9109
(202) 299-9109
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920090
BLOCK VISION
DC
01
—
OP1027
EYEMED VISION GROUP
DC
Enumeration date
05/30/2007
Last updated
07/08/2007
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