Willard C Pearce Jr OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1299 Issued in FL

Legal business name

WILLARD C PEARCE JR OD PA

Practice address

254 E Stuart Ave
Lake Wales, FL 33853-5720

Phone

(863) 676-2020

Fax

(863) 676-4500

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Willard Cail Pearce Jr., OD

Title

President

Phone

(863) 676-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1144201385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E STUART AVE",
            "address_2": "PO BOX 3806",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338535720",
            "telephone_number": "863-676-2020",
            "fax_number": "863-676-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E STUART AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338535720",
            "telephone_number": "863-676-2020",
            "fax_number": "863-676-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD C PEARCE JR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "CAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-676-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.