Individual
RICHARD R PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 EAGLE LAKE AVE, MUKWONAGO, WI 53149-1163
(262) 363-7763
(262) 363-9763
Mailing address
PO BOX 130, MUKWONAGO, WI 53149-0130
(262) 363-7763
(262) 363-9763
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01339
WI
Other
Enumeration date
10/24/2005
Last updated
06/18/2008
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