Provider Demographics
NPI:1780812149
Name:DONALD PEARCY O.D,OPTOMETRIC CORPORATION
Entity type:Organization
Organization Name:DONALD PEARCY O.D,OPTOMETRIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:760-945-2020
Mailing Address - Street 1:4065 OCEANSIDE BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5824
Mailing Address - Country:US
Mailing Address - Phone:760-945-2020
Mailing Address - Fax:760-945-3451
Practice Address - Street 1:4065 OCEANSIDE BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-5824
Practice Address - Country:US
Practice Address - Phone:760-945-2020
Practice Address - Fax:760-945-3451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7911152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1780812149OtherDONALD PEARCY OD OPTOMETRIC CORP.
CA1730260894OtherDONALD PEARCY OD,
CA1730260894OtherDONALD PEARCY OD,