Healthcare Provider Details

I. General information

NPI: 1083531206
Provider Name (Legal Business Name): EMMA KATHERINE PEARSON OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 S SILVER SPRINGS RD
CAPE GIRARDEAU MO
63703-6309
US

IV. Provider business mailing address

2530 W 428TH RD
EAST PRAIRIE MO
63845-8835
US

V. Phone/Fax

Practice location:
  • Phone: 573-651-5200
  • Fax:
Mailing address:
  • Phone: 573-683-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2026026723
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: