Douglas B Pearson Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1021 Issued in OK

Legal business name

DOUGLAS B PEARSON INC

Practice address

11 S Rowe St
Pryor, OK 74361-4626

Phone

(918) 825-6144

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

DOUGLAS B PEARSON ODAs reported in NPPES

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

Authorized official

Name

Dr. Douglas PearsonNPI 1366440075

Title

Owner

Phone

(918) 825-6144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Part of

Douglas B Pearson Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Bryant Pearson, O.D.

  • Optometrist
  • Pryor, OK
  • NPI 1366440075
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1891008009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S ROWE ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614626",
            "telephone_number": "918-825-6144",
            "fax_number": "918-825-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S ROWE ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614626",
            "telephone_number": "918-825-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B PEARSON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS B PEARSON OD",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-825-6144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Dirato-Martin, LPC
• Carly Ann Disalvatore
• Darrick Dewayne Dodson
• Mark Robert Doherty, DDS
• Harve Leroy Dorman Jr., LPC, LADC/MH
• Douglas B Pearson OD
• David Lee Draper
• Drayer Physical Therapy Oklahoma LLC
• Rita M. Drywater
• Dva Healthcare Renal Care Inc (Pryor Dialysis)

• Optometrist in Pryor, OK
• Providers in Pryor, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.