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Deactivated NPI 1619077674 Deactivated / Inactive NPI Male Practitioner

Dr. Jack W. Pearson , MD

Ophthalmology • Fergus Falls, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Pearson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date June 18, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Pearson, MD was a registered Ophthalmology practicing in Fergus Falls, MN. Throughout an active medical career spanning 20 years, Dr. Pearson provided care at the practice location at 615 S MILL ST until profile deactivation on 2026-06-18.

Practice Location & Contact Primary Location

Practice Address

615 S Mill St

Fergus Falls, MN 565372756

Telephone 2187392221
Fax 2187395501
Associated Practice Facility / Clinic
🏢 20-20 Optical Inc Facility NPI 1619972734

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fergus Falls, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Fergus Falls, MN (457 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 20760

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Sheryl Olson , NP

Nurse Practitioner

NPI 1023141579

Nurse Practitioner

Dr. Jacqueline Ona , MD

Internal Medicine

NPI 1174622294

Doctor of Medicine (M.D.)

Amy Fisher , MAN RN CNP

Nurse Practitioner - Pediatrics

NPI 1225332836

MANRNCNP

Dr. Tyler Lacey , MD

Family Medicine

NPI 1255866877

Doctor of Medicine (M.D.)

Dr. Ibrahim Khan , MD

Family Medicine

NPI 1326667684

Doctor of Medicine (M.D.)

Matthew Borowski , ATC

Specialist/Technologist - Athletic Trainer

NPI 1326683988

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2026

Record deactivated on June 18, 2026

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 615 S MILL ST, FERGUS FALLS, MN 565372756 (Tel: 2187392221)

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Updated Business Mailing Address July 09, 2007

Registered at 615 S MILL ST, FERGUS FALLS, MN 565372756 (Tel: 2187392221)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JACK PEARSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #20760 in MN)

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Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619077674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: July 09, 2007
Deactivation Date: June 18, 2026

Mailing Address

615 S Mill St

Fergus Falls, MN 565372756

Phone: 2187392221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.