Charles D Pearson, O.D. Valid NPI

Individual provider · Optometrist · Rockford, IL

NPI

1639120488

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

046-008903 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-05-15

Last updated

2010-08-23