Active NPI
Alan Philip Pearson, OD
- Optometrist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2057
- 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, 2015
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1046093 | Medicaid | WA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2057 | WA | MD | Optometrist |
| 00002057 | WA | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Near Vision Institute | Optometrist | Current | 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.
-
dba Vision Clinics of Development & Learning
- Optometrist
- Bellevue, WA
- NPI 1487093118
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
- Jaycee Payne
- PCN Medical, PLLC
- Peacehealth Networks on Demand, LLC (ZoomCare- Bellevue A)
- Peacehealth Networks on Demand, LLC (ZoomCare- Bellevue B)
- Martha Jane Pead, RBT
- Caroline Paige Pearson
- Gail Pearson, NP
- Christina Pease, MD
- Karin A Pedersen, P.A-C
- Pediatric Associates, Inc. P.S. Dba Allegro Pediatrics (Factoria)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.