Individual provider Active NPI

Alyssa Pearson, OD

  • Optometrist
  • Fremont, NE
National Provider Identifier
1780562926
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1681 Issued in NE
Practice address
2955 E Elk LN
Fremont, NE 68025-8814
Phone
(402) 721-8032
Fax
(402) 721-2874
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1681 NE Primary

Addresses

Primary practice location

2955 E Elk LN
Fremont, NE 68025-8814

Mailing address

2955 E Elk LN
Fremont, NE 68025-8814
Phone (402) 721-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250916003149 NE Practitioner - Optometry 2163926924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy J Devries OD PCGroup PAC ID 9931376001, 3 clinicians

Practice addresses (Care Compare)

2955 E Elk Lane
Fremont, NE 68025-8814
Phone (402) 721-8032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy J. Devries, O.D., P.C. Optometrist CurrentSince Sep 8, 2025 Accepting new patients

Locations

2955 E Elk Ln
Fremont, NE 68025
Phone (402) 721-8032

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1780562926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 E ELK LN",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680258814",
            "telephone_number": "402-721-8032",
            "fax_number": "402-721-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 E ELK LN",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680258814",
            "telephone_number": "402-721-8032",
            "fax_number": "402-721-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ALYSSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.