Individual provider Active NPI

Donald Eugene Pearcy, O.D.

  • Optometrist
  • Oceanside, CA
National Provider Identifier
1730260894
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7911T Issued in CA
Practice address
4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824
Phone
(760) 945-2020
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7911T CA Primary
Optometrist 152W00000X 1057 OK
Optometrist 152W00000X 7911 CA

Addresses

Primary practice location

4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824

Mailing address

4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824
Phone (760) 945-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000664 CA Practitioner - Optometry 4284688987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donald Pearcy OD Optometric CorporationGroup PAC ID 7416008313, 2 clinicians

Practice addresses (Care Compare)

4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824
Phone (760) 945-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7911TCAMDOptometrist
1057OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Donald Pearcy O.D,Optometric Corporation Optometrist CurrentSince Apr 27, 2009 Accepting new patients
All About Eyes Optometrist Past Accepting new patients

Locations

4065 Oceanside Blvd
Ste C
Oceanside, CA 92056
Phone (760) 945-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1730260894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 OCEANSIDE BLVD",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565824",
            "telephone_number": "760-945-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 OCEANSIDE BLVD",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920565824",
            "telephone_number": "760-945-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCY",
        "first_name": "DONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7911T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1057",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.