Pearson, Dennis

Pearson, Dennis is an individual health care provider with primary practice located at 90 Market St Ste 20, Lebanon OR 97355-2396. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pearson, Dennis can be contacted via phone (541) 451-1144.

Contact Information

Primary practice address
90 Market St Ste 20 Lebanon OR 97355-2396
Fax: (541) 451-1785
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1400ATI Oregon

Profile Details

NPI number 1356344220
LBN Legal business name Pearson, Dennis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356344220 NPPES
Oregon MEDICAID 232983

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