Jerry R Pederson, O.D., P.C.

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

Contact Information

Primary practice address
6650 S Vine St 160 Centennial CO 80121-2735
Phone: (303) 798-5533
Fax: (303) 798-2800
Website:
Map and Directions
Authorized official contact:
Name: Pederson, Jon Frederick Doctor of Optometry (OD)
Phone: (303) 798-5533

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2468 Colorado

Profile Details

NPI number 1114167947
LBN Legal business name Southglenn Eyecare, Pc
DBA Doing business as Jerry R Pederson, O.D., P.C.
Authorized official Pederson, Jon Frederick Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 2009 - about 17 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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