Individual provider Active NPI

Alan Philip Pearson, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1891820411
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2057 Issued in WA
Practice address
12835 NE Bel Red Rd
Ste 303
Bellevue, WA 98005-2631
Phone
(425) 213-1016
Fax
(425) 949-4491
NPI assigned
Feb 22, 2007
Last updated
May 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2057 WA Primary
Pediatric Optometrist 152WP0200X 00002057 WA

Addresses

Primary practice location

12835 NE Bel Red Rd
Ste 303
Bellevue, WA 98005-2631

Mailing address

12835 NE Bel Red Rd
Ste 303
Bellevue, WA 98005-2631
Phone (425) 213-1016

Other identifiers 1

IdentifierTypeStateIssuer
1046093MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003002933 WA Practitioner - Optometry 3072694926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4205 148TH Ave NE
Suite 101
Bellevue, WA 98007-7114

4629 236TH PL SE
Bothell, WA 98021-9068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2057WAMDOptometrist
00002057WAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Near Vision Institute Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Alan P Pearson OD PHD PLLC Optometrist Past Accepting new patients

Locations

4205 148th Ave NE
Ste 101
Bellevue, WA 98007
Phone (425) 354-3998

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1891820411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 NE BEL RED RD",
            "address_2": "STE 303",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052631",
            "telephone_number": "425-213-1016",
            "fax_number": "425-949-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 NE BEL RED RD",
            "address_2": "STE 303",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052631",
            "telephone_number": "425-213-1016",
            "fax_number": "425-949-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ALAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2057",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "00002057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046093",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.