Active NPI
Douglas B Pearson OD
- Durable Medical Equipment & Medical Supplies
- Pryor, OK
National Provider Identifier
1609188655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1021
- Legal business name
- DOUGLAS B PEARSON OD
- Practice address
- 11 S Rowe St
Pryor, OK 74361-4626 - Phone
- (918) 825-6144
- Fax
- (918) 825-5374
- NPI assigned
- Jul 7, 2010
- Last updated
- Jul 7, 2010
- Organization subpart
- Yes
- Parent organization
- DOUGLAS B PEARSON OD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Pearson
- Title
- Owner
- Phone
- (918) 825-6144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1021 | OK | Primary |
Addresses
Primary practice location
11 S Rowe St
Pryor, OK 74361-4626
Mailing address
11 S Rowe St
Pryor, OK 74361-4626
Phone (918) 825-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100761440A | Medicaid | OK |
National Provider Directory
National Provider Directory- Part of
- Douglas B Pearson Inc
Locations
11 S Rowe St
Pryor, OK 74361
Phone (918) 825-6144
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Pryor, OK
- NPI 1366440075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1609188655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S ROWE ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614626",
"telephone_number": "918-825-6144",
"fax_number": "918-825-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 S ROWE ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614626",
"telephone_number": "918-825-6144",
"fax_number": "918-825-5374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS B PEARSON OD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DOUGLAS B PEARSON OD",
"enumeration_date": "2010-07-07",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-825-6144",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OK",
"license": "1021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100761440A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.