Individual provider Active NPI

Kerry Karl Pearson, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1265455034
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-000697 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031113000529 AZ Practitioner - Optometry 9739092925 Reassigns benefits to 2 organizations

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
Frank M Akers II O D PCGroup PAC ID 3274610480, 11 clinicians

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

LicenseStateTypeSpecialty
OPT-000697AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eyecare of Arizona, Inc. Optometrist PastSince May 6, 2022 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist Past Accepting new patients
Yuma Eyecare Group LLC Optometrist PastSince Jan 1, 2006 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Estrella Mountain Eye Care PLLC Optometrist PastSince Jan 8, 2021 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.

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

Verify at the official NPI Registry.