DENNIS PEARSON (OD) – Optometrist, NPI 1356344220

DENNIS PEARSON (OD) is a healthcare provider. based in Lebanon, Oregon. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1400ATI (OR). The NPI Number for DENNIS PEARSON (OD) is 1356344220

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS PEARSON (OD)
NPI
1356344220
Phone
(541) 451-1144
Address
90 MARKET ST
Enumeration Date
24 May 2005
Last Update Date
18 June 2008

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5414511144
Graduation Year
1978 (48 years ago)
PAC ID
5092612549
Group Practice PAC ID
6608773148
Professional Enrollment ID
I20100622000216
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DENNIS PEARSON (OD)

  • Market Street, Lebanon, Laclede County, Missouri, 65536, United States

    STE 20

    LEBANON, OR 973552396

    Phone: (541) 451-1144

    Fax: (541) 451-1785

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-22

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
I20100622000216IOptometryORTBD

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 97355)

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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: 6608773148View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Is there an official ID for DENNIS PEARSON (OD) in U.S. healthcare records?
The official identifier for DENNIS PEARSON (OD) is NPI 1356344220.
Is DENNIS PEARSON (OD) shown as active in public data?
Registry records indicate DENNIS PEARSON (OD) maintains an active NPI.
What clinical focus is listed for DENNIS PEARSON (OD)?
At a glance, DENNIS PEARSON (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DENNIS PEARSON (OD) located near Lebanon?
DENNIS PEARSON (OD) currently maps to Lebanon, Oregon in this extract.
Can I trust this NPI listing for DENNIS PEARSON (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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