Active NPI
Kerry Karl Pearson, O.D.
- Optometrist
- Mesa, AZ
National Provider Identifier
1265455034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-000697
- Practice address
- 3635 E Inverness Ave Ste 107
Mesa, AZ 85206-3848 - Phone
- (480) 372-8950
- Fax
- (480) 835-1222
- NPI assigned
- Jul 25, 2006
- Last updated
- Mar 23, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-000697 | AZ | Primary |
Addresses
Primary practice location
3635 E Inverness Ave Ste 107
Mesa, AZ 85206-3848
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
1649 S Stapley Dr
Ste 108
Mesa, AZ 85204-6649
Phone (480) 345-7520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Pacific University - College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3635 E Inverness Ave
Suite 105
Mesa, AZ 85206-3848
Phone (480) 372-8950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-000697 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Eyecare of Arizona, Inc. | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Washington, PLLC | Optometrist | Past | Accepting new patients |
| Yuma Eyecare Group LLC | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Estrella Mountain Eye Care PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Optometrist
- Mesa, AZ
- NPI 1598937542
-
- Optometrist
- Yuma, AZ
- NPI 1477628717
-
- Optometrist
- Avondale, AZ
- NPI 1912443888
-
- Optometrist
- Mesa, AZ
- NPI 1144174749
-
- Optometrist
- Gilbert, AZ
- NPI 1114169273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1265455034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 E INVERNESS AVE STE 107",
"city": "MESA",
"state": "AZ",
"postal_code": "852063848",
"telephone_number": "480-372-8950",
"fax_number": "480-835-1222"
}
],
"practiceLocations": [
{
"address_1": "1649 S STAPLEY DR",
"address_2": "STE 108",
"address_purpose": "LOCATION",
"city": "MESA",
"state": "AZ",
"postal_code": "852046649",
"country_code": "US",
"telephone_number": "480-345-7520",
"fax_number": "480-844-8699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARSON",
"first_name": "KERRY",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-000697",
"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 23, 2026; 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.