Kristen Marie Pearsall

Primary specialty

OpticianTaxonomy code 156FX1800X

License

9359 Issued in NY

Practice address

1890 Old Country Rd
Riverhead, NY 11901-4453

Phone

(631) 369-9055

Fax

(631) 727-2137

NPI assigned

Dec 29, 2017

Last updated

Dec 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1629585690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014453",
            "telephone_number": "631-369-9055",
            "fax_number": "631-727-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014453",
            "telephone_number": "631-369-9055",
            "fax_number": "631-727-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "9359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajoo C Patel, MD
• Sheel Rajoo Patel, MD
• Vaibhavi Patel, MD
• Ryan Donald Patterson, M.D.
• Pooja Paunikar
• John W Pearson, M.D.
• Peconic Anesthesiologist, P.C.
• Peconic Bay Faculty Medical Affiliates, University Faculty Practice Co
• Peconic Bay Medical Center
• Peconic Bay Medical Center

• Optician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.