| |
108 Saint Anthony St. South, Preston, MN 55965 | |
(507) 765-3839 | |
(507) 765-3839 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 108 Saint Anthony St. South, Preston, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275614406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | LD 1979000 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
108 Saint Anthony St. South, Po Box 660, Preston, MN 55965 Ph: (507) 765-3839 | 108 Saint Anthony St. South, Preston, MN 55965 Ph: (507) 765-3839 |