Organization
JERRY R. PEDERSON, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY RAY PEDERSON O.D. (OWNER)
(303) 798-5533
Entity
Organization
Contact information
Practice address
6650 S VINE ST, SUITE 160, CENTENNIAL, CO 80121-2735
(303) 798-5533
(303) 798-2800
Mailing address
6650 S VINE ST, SUITE 160, CENTENNIAL, CO 80121-2735
(303) 798-5533
(303) 798-2800
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
724
CO
Other
Enumeration date
02/15/2007
Last updated
04/17/2008
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