Organization
PEARSON VISION CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D PEARSON O.D. (PRESIDENT)
(815) 227-1820
Entity
Organization
Contact information
Practice address
6560 E STATE ST, ROCKFORD, IL 61108-2545
(815) 218-6210
(815) 227-1986
Mailing address
6560 E STATE ST, ROCKFORD, IL 61108-2545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008903
IL
Other
Enumeration date
10/09/2009
Last updated
08/23/2010
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