Individual
JEFFREY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4201 W DIVISION ST STE 61, SAINT CLOUD, MN 56301-3693
(320) 654-8050
Mailing address
1809 SOUTHWOOD TRL, SAINT CLOUD, MN 56301-7504
(320) 654-8050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2412
MN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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