Jerry R. Pederson, O.D.

LBN: Jerry R. Pederson, O.D.
Jerry R. Pederson, O.D. is an health care organization with primary practice located at 6650 S Vine St Suite 160, Centennial CO 80121-2735. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Jerry R. Pederson, O.D. can be contacted via phone (303) 798-5533, or through Pederson, Jerry Ray via phone (303) 798-5533.

Contact Information

Primary practice address
6650 S Vine St Suite 160 Centennial CO 80121-2735
Fax: (303) 798-2800
Authorized official contact:
Name: Pederson, Jerry Ray Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 724 Colorado

Profile Details

NPI number 1811031859
LBN Legal business name Jerry R. Pederson, O.D.
DBA Doing business as
Authorized official Pederson, Jerry Ray Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Apr 17th, 2008 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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