Pearson, Thomas

Pearson, Thomas is an individual health care provider with primary practice located at 1360 E Herndon Ave Suite 401, Fresno CA 93720-3326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pearson, Thomas can be contacted via phone (559) 449-5010.

Contact Information

Primary practice address
1360 E Herndon Ave Suite 401 Fresno CA 93720-3326
Phone: (559) 449-5010
Fax: (559) 449-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8161TPA California

Profile Details

NPI number 1023071362
LBN Legal business name Pearson, Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated May 9th, 2012 - about 12 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 1023071362 NPPES
California MEDICAID GR0078922
California MEDICAID GSD004052
California MEDICAID GSD004051
California MEDICAID GSD004054
California MEDICAID SD0081611
California MEDICAID GR0078923
California MEDICAID GSD004050
California MEDICAID GR0078920
California MEDICAID GR0078921
California MEDICAID GR0078924

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