Dennis Pearson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1400ATI Issued in OR

Practice address

90 Market St
Ste 20
Lebanon, OR 97355-2396

Phone

(541) 451-1144

Fax

(541) 451-1785

NPI assigned

May 24, 2005

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lifetime Vision Source of Lebanon LLC

  • Optometrist
  • Lebanon, OR
  • NPI 1710168877
  Medicare reassignment NPD
• Eyecare Associates PC

  • Ophthalmology Physician
  • Albany, OR
  • NPI 1013964113

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1356344220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MARKET ST",
            "address_2": "STE 20",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552396",
            "telephone_number": "541-451-1144",
            "fax_number": "541-451-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MARKET ST",
            "address_2": "STE 20",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552396",
            "telephone_number": "541-451-1144",
            "fax_number": "541-451-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "DENNIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1400ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232983",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Parsons
• Frank N Pascoe, LMT
• Saiswathi Patel
• Reed E. Paulson, M.D.
• Angelina Pearson, DO
• Bonnie Jo Peckfelder
• Mary Jane Peeples
• People Solutions, LLC
• Alan James Perry
• Brooke Petersen

• Optometrist in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.