Individual provider Active NPI

Brian L Piearson, OD

  • Optometrist
  • Brookings, SD
National Provider Identifier
1801870340
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
145 Issued in SD
Practice address
2311 Yorkshire Drive
Ste C
Brookings, SD 57006-2446
Phone
(605) 692-7315
Fax
(605) 692-2615
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 145 SD Primary

Addresses

Primary practice location

2311 Yorkshire Drive
Ste C
Brookings, SD 57006-2446

Mailing address

2311 Yorkshire Drive
Ste C
Brookings, SD 57006-2446
Phone (605) 692-7315

Other identifiers 1

IdentifierTypeStateIssuer
9201773MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1801870340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DRIVE",
            "address_2": "STE C",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062446",
            "telephone_number": "605-692-7315",
            "fax_number": "605-692-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 YORKSHIRE DRIVE",
            "address_2": "STE C",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062446",
            "telephone_number": "605-692-7315",
            "fax_number": "605-692-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEARSON",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201773",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.