Organization
JERRY R. PEDERSON, O.D., P.C.
Active
Other names
Southglenn EyeCare, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JON F PEDERSON O.D. (OWNER)
(303) 798-5533
Entity
Organization
Contact information
Practice address
6650 S VINE ST, SUITE 160, CENTENNIAL, CO 80121-2769
(303) 798-5533
(303) 798-2800
Mailing address
6650 S VINE ST, SUITE 160, CENTENNIAL, CO 80121-2769
(303) 798-5533
(303) 798-2800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
09/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up