Individual provider Active NPI

John D Pearson, O.D.

  • Optometrist
  • Tempe, AZ
National Provider Identifier
1992775712
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1026 Issued in AZ
Practice address
3200 S Rural Rd
#1
Tempe, AZ 85282-3870
Phone
(480) 966-0522
Fax
(480) 966-0650
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1026 AZ Primary

Addresses

Primary practice location

3200 S Rural Rd
#1
Tempe, AZ 85282-3870

Mailing address

3200 S Rural Rd
#1
Tempe, AZ 85282-3870

Other identifiers 1

IdentifierTypeStateIssuer
49142301MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHNP@thedeserteye.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050523001337 AZ Practitioner - Optometry 6709828494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 S Rural Rd
Tempe, AZ 85282-3870
Phone (480) 966-0522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1026AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Eye, PC Optometrist CurrentSince Jul 19, 2010 Accepting new patients

Locations

3200 S Rural Rd
Ste 1
Tempe, AZ 85282
Phone (480) 966-0522

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1992775712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD",
            "address_2": "#1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S RURAL RD",
            "address_2": "#1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823870",
            "telephone_number": "480-966-0522",
            "fax_number": "480-966-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49142301",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHNP@thedeserteye.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMR Direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 S Rural Rd",
            "address_2": "#1",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852823870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.