Organization Active NPI

Pearson Eyecare Group, LLC

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1043515547
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PEARSON EYECARE GROUP, LLC
Practice address
6555 E Southern Ave
#1508
Mesa, AZ 85206-3718
Phone
(480) 345-7520
NPI assigned
Jan 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Kerry Pearson, O.D.
Title
Manager
Phone
(480) 345-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6555 E Southern Ave
#1508
Mesa, AZ 85206-3718

Mailing address

6555 E Southern Ave Ste 1508
Mesa, AZ 85206-3724
Phone (480) 890-0618

National Provider Directory

National Provider Directory

Locations

6555 E Southern Ave
Ste 1508
Mesa, AZ 85206
Phone (480) 890-0618

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1043515547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 E SOUTHERN AVE STE 1508",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063724",
            "telephone_number": "480-890-0618",
            "fax_number": "480-462-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 E SOUTHERN AVE",
            "address_2": "#1508",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063718",
            "telephone_number": "480-345-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON EYECARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-345-7520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.