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SOUTHGLENN EYECARE PC NPI 1114167947


NPI Information

NPI: 1114167947
Provider Name: SOUTHGLENN EYECARE, PC

Other Name: JERRY R PEDERSON, O.D., P.C.

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
6650 S VINE ST
160
CENTENNIAL, CO
ZIP 80121
Phone: (303) 798-5533
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SOUTHGLENN EYECARE, PC is an optometrist in Centennial, CO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. SOUTHGLENN EYECARE, PC NPI is 1114167947. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jerry R Pederson, O.d., P.c..

The provider's business location address is:

6650 S VINE ST
160
CENTENNIAL, CO
ZIP 80121-735
Phone: (303) 798-5533
Fax: (303) 798-2800

The provider's authorized official is Jon Frederick Pederson .
The authorized official title is Doctor and has the following contact phone number (303) 798-5533.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 3/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2468COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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