Active NPI
Pearson Eyecare Group, LLC
- Optometrist
- Mesa, AZ
National Provider Identifier
1386867257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PEARSON EYECARE GROUP, LLC
- Practice address
- 1649 S Stapley Dr
#108
Mesa, AZ 85204-6649 - Phone
- (480) 345-7520
- Fax
- (480) 844-8699
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kerry Pearson, O.D.
- Title
- Manager
- Phone
- (480) 345-7520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1649 S Stapley Dr
#108
Mesa, AZ 85204-6649
Mailing address
6555 E Southern Ave
#1508
Mesa, AZ 85206-3724
Phone (480) 890-0618
National Provider Directory
National Provider DirectoryLocations
7650 W Bell Rd
#3
Glendale, AZ 85308
Phone (623) 412-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chandler, AZ
- NPI 1144450495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1386867257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6555 E SOUTHERN AVE",
"address_2": "#1508",
"city": "MESA",
"state": "AZ",
"postal_code": "852063724",
"telephone_number": "480-890-0618",
"fax_number": "480-462-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 S STAPLEY DR",
"address_2": "#108",
"city": "MESA",
"state": "AZ",
"postal_code": "852046649",
"telephone_number": "480-345-7520",
"fax_number": "480-844-8699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARSON EYECARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-345-7520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.