Provider Demographics
NPI:1821226697
Name:PEARCE, ZACHARY DALE (DO)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:DALE
Last Name:PEARCE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:19176 HALL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6914
Mailing Address - Country:US
Mailing Address - Phone:865-286-3400
Mailing Address - Fax:586-286-3400
Practice Address - Street 1:19176 HALL RD STE 110
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-6914
Practice Address - Country:US
Practice Address - Phone:586-286-3400
Practice Address - Fax:586-286-3619
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2020-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WY10170A207WX0200X
MI5101018152207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW27085Medicare PIN