# DR. JON F PEDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407842628
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 2468 | CO | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 02/16/2021
