Gary Pearce MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME45565 Issued in FL

Legal business name

GARY PEARCE MD PA

Practice address

211 US 27 S
Lake Placid, FL 33852-7920

Phone

(863) 465-1880

NPI assigned

Jun 25, 2011

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Pearce, M.D.NPI 1861497638

Title

Owner

Phone

(863) 465-1880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Pearce, M.D.

  • Ophthalmology Physician
  • Lake Placid, FL
  • NPI 1861497638
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1447546619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527920",
            "telephone_number": "863-465-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527920",
            "telephone_number": "863-465-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY PEARCE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-465-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME45565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER CLEARINGHOUSE",
            "identifier": "6685320001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.