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
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