# PEARLE CAPSTONE EYE ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEARLE CAPSTONE EYE ASSOCIATES PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174231039
- **Legal business name:** PEARLE CAPSTONE EYE ASSOCIATES PLLC
- **Authorized official:** ALLISON PAGE DICKSON OD (CMO)
- **Authorized official phone:** (616) 459-0641

## Contact information

- **Practice address:** 3708 HENDERSON BLVD, TAMPA, FL 33609-4504
- **Practice address phone:** (813) 392-3636
- **Mailing address:** 1601 NW EXPRESSWAY STE 1420, OKLAHOMA CITY, OK 73118-1460
- **Mailing address phone:** (405) 445-1588
- **Mailing address fax:** (405) 353-6998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 11/09/2022