Active NPI
Christopher Pearson, O.D.
- Optometrist
- Longwood, FL
National Provider Identifier
1043312622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3672
- Practice address
- 105 E Lake Brantley Dr
Longwood, FL 32779-4806 - Phone
- (407) 869-4733
- Fax
- (407) 869-1782
- NPI assigned
- Sep 2, 2006
- Last updated
- Jan 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omega Vision Center PA | Optometrist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.