Organization Active NPI

Donald Pearcy O.D,Optometric Corporation

  • Optometrist
  • Oceanside, CA
National Provider Identifier
1780812149
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7911 Issued in CA
Legal business name
DONALD PEARCY O.D,OPTOMETRIC CORPORATION
Practice address
4065 Oceanside Blvd
Suite C
Oceanside, CA 92056-5824
Phone
(760) 945-2020
Fax
(760) 945-3451
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Donald Pearcy, O.D.NPI 1730260894
Title
Pres/Owner
Phone
(760) 945-2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7911 CA Primary

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

Other identifiers 2

IdentifierTypeStateIssuer
1780812149OtherCADONALD PEARCY OD OPTOMETRIC CORP.
1730260894OtherCADONALD PEARCY OD,

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000218 CA Part B Supplier - Clinic/Group Practice 7416008313 Receives reassigned benefits from 3 practitioners
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory
Tax ID family
All About Eyes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1780812149",
    "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",
            "fax_number": "760-945-3451"
        },
        {
            "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",
            "fax_number": "760-945-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD PEARCY O.D,OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "PEARCY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "760-945-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONALD PEARCY OD OPTOMETRIC CORP.",
            "identifier": "1780812149",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONALD PEARCY OD,",
            "identifier": "1730260894",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.