Dr. Pearce has conducted and published research on a variety of public health topics. His primary research interests include the role of mid-level eye care providers in the developing world, eye care pedagogy, the intersection of nongovernmental organizations and health systems strengthening as they relate to eye care in the developing world, cultural humility in eye care, and the role of optometrists in addressing systemic health conditions.

Dr. Pearce enjoys teaching, mentoring, and supporting mid-level eye care providers in the developing world, as well as providing continuing education to western optometrists. He has taught mid-level eye care providers in the South Pacific and Thailand, he has taught optometry students in Palestine and the US, and has provided continuing education lectures around the world.

Dr. Pearce provides full-scope optometric care in an HMO setting in Portland, Oregon. He particularly enjoys seeing patients with limited English proficiency, and patients who are mentally or physically challenged.