Richard R Pearson

Primary specialty

OptometristTaxonomy code 152W00000X

License

01339 Issued in WI

Practice address

305 Eagle Lake Ave
Mukwonago, WI 53149-1163

Phone

(262) 363-7763

Fax

(262) 363-9763

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eyeworks Inc.

  • Optometrist
  • Janesville, WI
  • NPI 1699804195
  NPD (past)
• Paul F Wagner, MD SC

  • Ophthalmology Physician
  • Burlington, WI
  • NPI 1306063045
  NPD (past)
• Shara Grover MD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mukwonago, WI
  • NPI 1942660170
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1871583765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531490130",
            "telephone_number": "262-363-7763",
            "fax_number": "262-363-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAGLE LAKE AVE",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491163",
            "telephone_number": "262-363-7763",
            "fax_number": "262-363-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "RICHARD",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "01339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One-on-One Physical Therapy, LLC
• Orthopaedic Associates of Wisconsin SC
• Tanner Paque, PHARMD
• Hong-Lim Park, DIPL. OM, LAC, OMD
• Julie Patterson, RN, BSN, IBCLC
• Anita Marie Pennoyer
• Kari Peper, OTR
• Sally Pepper
• Perugini Chiropractic SC
• Rocco Frank Perugini, DC

• Optometrist in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.