Provider Demographics
NPI:1598736258
Name:PRESSON, JOSEPH VANN (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VANN
Last Name:PRESSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3990
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:703-991-0514
Practice Address - Street 1:3001 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5211
Practice Address - Country:US
Practice Address - Phone:252-633-2901
Practice Address - Fax:252-633-2037
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1398152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0963COtherBCBS PROVIDER NUMBER
NC890963CMedicaid
NC0963COtherBCBS PROVIDER NUMBER
U17481Medicare UPIN