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NPI Code Detail

MEDICARE: DR. ROBERT ALLEN PEARSON OD

MEDICARE:  DR. ROBERT ALLEN PEARSON  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist232NV
2152W00000XOptometrist179TWY
3152W00000XOptometrist8563CA

General Provider Information

NPI Number : 1023007416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ALLEN PEARSON OD
Provider Business Mailing Address
First Line : 6134 W. LAKE MEAD BLVD
Second Line : E-8
City : LAS VEGAS
State : NV
Zip : 89108-2659
Country : US
Telephone Number : 702-631-4144
Fax Number : 702-631-9094
Provider Business Practice Location Address
First Line : 6134 W. LAKE MEAD BLVD
Second Line : E-8
City : LAS VEGAS
State : NV
Zip : 89108-2659
Country : US
Telephone Number : 702-220-4197
Fax Number : 702-220-4197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 08/01/2012

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Directions to “ DR. ROBERT ALLEN PEARSON OD” Practice Location

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