NPI 1124109848

Jared Carl Pearson, OD

Practitioner Optometrist Rapid City, SD

Practice location

Address: 318 Mount Rushmore Rd Suite a, Rapid City, SD 57701-2769
Phone: (605) 399-3937

Registered specialties (7)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 608 (SD)

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Eye and Vision Services Providers Taxonomy 152WP0200X Licence 608 (SD)

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Eye and Vision Services Providers Taxonomy 152WX0102X Licence 608 (SD)

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Eye and Vision Services Providers Taxonomy 152WL0500X Licence 608 (SD)

Registry record

NPI: 1124109848
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 20 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.