DR. CHARLES D PEARSON (O.D.) – Optometrist, NPI 1639120488

DR. CHARLES D PEARSON (O.D.) is a healthcare provider. based in Rockford, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-008903 (IL). The NPI Number for DR. CHARLES D PEARSON (O.D.) is 1639120488

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES D PEARSON (O.D.)
NPI
1639120488
Phone
(815) 227-1820
Address
6560 E STATE ST
Enumeration Date
15 May 2006
Last Update Date
23 August 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8159633454
Graduation Year
1995 (31 years ago)
PAC ID
8123030038
Group Practice PAC ID
0941381537
Professional Enrollment ID
I20060614000250
Address ID
IL611073949RO121XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. CHARLES D PEARSON (O.D.)

  • Target, 6560, East State Street, Rockford, Rockford Township, Winnebago County, Illinois, 61108, United States

    ROCKFORD, IL 611082545

    Phone: (815) 227-1820

    Fax: (815) 227-1986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($125).

Total Amount

$277

General + Research + Ownership

Payments

7

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060614000250IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941381537View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES D PEARSON (O.D.)?
NPI 1639120488 is assigned to DR. CHARLES D PEARSON (O.D.) under the national enumeration system.
Is DR. CHARLES D PEARSON (O.D.)'s NPI currently valid?
The extract we use shows DR. CHARLES D PEARSON (O.D.) as active.
Can you summarize DR. CHARLES D PEARSON (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. CHARLES D PEARSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. CHARLES D PEARSON (O.D.) practice in Illinois?
You will see Rockford, Illinois on file for DR. CHARLES D PEARSON (O.D.) alongside any extra practice locations.
What if Rockford, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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