NPIMap

Organization Active NPI

Pearle Capstone Eye Associates PLLC

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1154039014
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PEARLE CAPSTONE EYE ASSOCIATES PLLC
Practice address
1350 4TH St N
St Petersburg, FL 33701-1118
Phone
(727) 498-5117
Fax
(813) 285-4382
NPI assigned
Nov 9, 2022
Organization subpart
Yes
Parent organization
PEARLE CAPSTONE EYE ASSOCIATES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Allison Page Dickson, ODNPI 1528547031
Title
Cmo
Phone
(616) 459-0641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1350 4TH St N
St Petersburg, FL 33701-1118

Mailing address

1601 NW Expressway Ste 1420
Oklahoma City, OK 73118-1460
Phone (405) 445-1588

National Provider Directory

National Provider Directory
Tax ID family
Pearle Capstone Eye Associates PLLC7 organizations share this tax ID, including this one
Part of
Pearle Capstone Eye Associates PLLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1154039014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW EXPRESSWAY STE 1420",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181460",
            "telephone_number": "405-445-1588",
            "fax_number": "405-353-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011118",
            "telephone_number": "727-498-5117",
            "fax_number": "813-285-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE CAPSTONE EYE ASSOCIATES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEARLE CAPSTONE EYE ASSOCIATES PLLC",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "616-459-0641",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.