Active NPI
Mary P Pearson, OD
- Optometrist
- Salem, NH
National Provider Identifier
1881645968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0677
- Practice address
- 346 S Broadway
Route 28
Salem, NH 03079-4304 - Phone
- (603) 898-8560
- Fax
- (603) 870-9271
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3184 | MA | |
| Optometrist | 152W00000X | 0677 | NH | Primary |
Addresses
Primary practice location
346 S Broadway
Route 28
Salem, NH 03079-4304
Mailing address
2921 Erie Blvd E
Optometric Providers of New Hampshire, P.C.
Syracuse, NY 13224-1430
Phone (315) 445-7465
Other names 1
- Dr. Mary Pamela Pearson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3184 | MA | MD | Chiropractor |
| 0677 | NH | MD | Speech-Language Pathologist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1881645968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"address_2": "OPTOMETRIC PROVIDERS OF NEW HAMPSHIRE, P.C.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241430",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 S BROADWAY",
"address_2": "ROUTE 28",
"city": "SALEM",
"state": "NH",
"postal_code": "030794304",
"telephone_number": "603-898-8560",
"fax_number": "603-870-9271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MARY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3184",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "PEARSON",
"middle_name": "PAMELA",
"prefix": "DR.",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.