Individual provider Active NPI

Christopher Pearson, O.D.

  • Optometrist
  • Longwood, FL
National Provider Identifier
1043312622
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3672 Issued in FL
Practice address
105 E Lake Brantley Dr
Longwood, FL 32779-4806
Phone
(407) 869-4733
Fax
(407) 869-1782
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3672 FL Primary
Corneal and Contact Management Optometrist 152WC0802X OPC 3672 FL
Pediatric Optometrist 152WP0200X OPC 3672 FL

Addresses

Primary practice location

105 E Lake Brantley Dr
Longwood, FL 32779-4806

Mailing address

105 E Lake Brantley Dr
Longwood, FL 32779-4806
Phone (407) 869-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000171 FL Practitioner - Optometry 5991808909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omega Vision Center PAGroup PAC ID 6002908647, 3 clinicians

Practice addresses (Care Compare)

105 E Lake Brantley Dr
Longwood, FL 32779-4806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Vision Center PA Optometrist CurrentSince Aug 1, 2006 Accepting new patients

Locations

105 E Lake Brantley Dr
Longwood, FL 32779
Phone (407) 868-4733

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1043312622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794806",
            "telephone_number": "407-869-4733",
            "fax_number": "407-869-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794806",
            "telephone_number": "407-869-4733",
            "fax_number": "407-869-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3672",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 3672",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC 3672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.