Organization Active NPI

Dr. Bailey Pearson, OD, PLLC

  • Optometrist
  • Gaylord, MI
National Provider Identifier
1528540358
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005116 Issued in MI
Legal business name
DR. BAILEY PEARSON, OD, PLLC
Practice address
713 S Wisconsin Ave
Gaylord, MI 49735-1766
Phone
(989) 705-1255
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dr. Bailey Elise Pearson, OD
Title
Optometrist
Phone
(989) 619-6473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901005116 MI Primary

Addresses

Primary practice location

713 S Wisconsin Ave
Gaylord, MI 49735-1766

Mailing address

PO Box 1220
Gaylord, MI 49734-5220
Phone (989) 705-1255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1528540358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345220",
            "telephone_number": "989-705-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S WISCONSIN AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351766",
            "telephone_number": "989-705-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BAILEY PEARSON, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "989-619-6473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.