Organization Active NPI

Premier Eyecare P.C.

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1740429711
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
608 Issued in SD
Legal business name
PREMIER EYECARE P.C.
Practice address
318 Mount Rushmore Rd
Suite a
Rapid City, SD 57701-2769
Phone
(605) 399-3937
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Jared Carl Pearson, O.D.
Title
Owner/Manager
Phone
(605) 399-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 608 SD Primary

Addresses

Primary practice location

318 Mount Rushmore Rd
Suite a
Rapid City, SD 57701-2769

Mailing address

318 Mount Rushmore Rd
Suite a
Rapid City, SD 57701-2769
Phone (605) 399-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1740429711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MOUNT RUSHMORE RD",
            "address_2": "SUITE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012769",
            "telephone_number": "605-399-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MOUNT RUSHMORE RD",
            "address_2": "SUITE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012769",
            "telephone_number": "605-399-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "605-399-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.