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NPI Profile for BRYANT E PEARSON in STATEN ISLAND, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1548746811 |
|
| Status | Active | |
| Credentials | OPHTHALMIC DISPENSER | |
| Entity | Individual | |
| Enumeration date | 07/19/2018 | |
| Last updated | 07/19/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRYANT E PEARSON
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BRYANT E PEARSON, OPHTHALMIC DISPENSER