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BARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION NPI 1124224589


NPI Information

NPI: 1124224589
Provider Name: BARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
56970 YUCCA TRL # S-101
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 228-2020
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BARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION is an optometrist in Yucca Valley, CA. 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. BARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION NPI is 1124224589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

56970 YUCCA TRL # S-101
YUCCA VALLEY, CA
ZIP 92284-753
Phone: (760) 228-2020
Fax: (760) 369-2020

The provider's authorized official is Barton M. Pedersen .
The authorized official title is Owner and has the following contact phone number (760) 228-2020.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 2/25/2010.


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
1152W00000XOptometristOPT4600TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ696612OTHERCALIFORNIABLUE SHIELD
21134103484OTHERCALIFORNIADENNIS G. LOWMAN O.D.
31215911565OTHERCALIFORNIACHARLES J. BAUS, O.D.
4SD0046000MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIABARTON M. PEDERSEN, O.D.
5SD0121830MEDICAIDCALIFORNIA
6U92857MEDICARE UPINCALIFORNIA
7T09711MEDICARE UPINCALIFORNIA
8SD0087871MEDICARE PINCALIFORNIA
9SD0045741MEDICARE PINCALIFORNIA
10410004661OTHERCALIFORNIARAILROAD MEDICARE
111043294929OTHERCALIFORNIARONALD Y. HAYASHIDA, O.D.
12U25818MEDICARE UPINCALIFORNIA
13T09703MEDICARE UPINCALIFORNIA
14SD0012183MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACHARLES J. BAUS
15SD0046000MEDICAIDCALIFORNIA
16ZZZ24908ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP MEDICARE ID
17SD0045740MEDICAIDCALIFORNIA
180313520001MEDICARE NSCCALIFORNIA
191336123686OTHERCALIFORNIABARTON M. PEDERSEN, O.D.
201124224589OTHERCALIFORNIAGROUP NPI

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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