Paul Preston, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN2559 Issued in MN

Practice address

385 W Market
Mall of America
Bloomington, MN 55425-5523

Phone

(952) 854-4500

Fax

(952) 858-8525

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MN, PR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luxottica of America Inc.

  dba Lenscrafters #606

  • Eyewear Supplier
  • Ponce, PR
  • NPI 1003962853
  Medicare reassignment
• Luxottica of America Inc.

  dba Lenscrafters #894

  • Eyewear Supplier
  • Woodbury, MN
  • NPI 1578618617
  NPD (past)
• Visual Edge, Inc

  dba Pearle Vision

  • Optician
  • Bloomington, MN
  • NPI 1841341898
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1689777179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W MARKET",
            "address_2": "MALL OF AMERICA",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554255523",
            "telephone_number": "952-854-4500",
            "fax_number": "952-858-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W MARKET",
            "address_2": "MALL OF AMERICA",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554255523",
            "telephone_number": "952-854-4500",
            "fax_number": "952-858-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN2559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOA",
            "identifier": "299K8PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MN2559",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/MN   ST LOUIS PK",
            "identifier": "183M3PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UNITED HEALTH CARE",
            "identifier": "2200266",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "2219201",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UNITED HEALTH CARE",
            "identifier": "2202539",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370517000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Presbyterian Homes Bloomington Care Center, Inc
• Presbyterian Homes Bloomington Care Center, Inc
• Presbyterian Homes of Bloomington, Inc
• Colby Presley, DO
• Natashia Pressey
• Jonathan Preszler
• Kathryn Pribyl
• Henry Price, MA
• Allison Pridgen, CMT
• Christopher Michael Prigge, PA

• Optometrist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.