MEDICARE: ALYSSA 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
1	152W00000X	Optometrist	1681	NE

General Provider Information

NPI Number	:	1780562926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA PEARSON OD

Provider Business Mailing Address
First Line	:	20758 PALM CIR
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-5126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20758 PALM CIR
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-5126
Country	:	US
Telephone Number	:	402-289-4418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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Directions to “ ALYSSA PEARSON OD” Practice Location

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