SOUTHGLENN EYECARE, PC
NPI 1073742938
Optometrist in Centennial, CO

NPI Status: Active since July 13, 2009

Contact Information

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

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  • Organization
  • Optometrist

About SOUTHGLENN EYECARE, PC

This page provides the complete NPI Profile along with additional information for Southglenn Eyecare, Pc, a provider established in Centennial, Colorado operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1073742938 assigned on July 2009. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Southglenn Eyecare, Pc. The authorized official of this NPI record is Jon F Pederson O.d. (Owner)

NPI
1073742938
Provider Legal Name
JERRY R. PEDERSON, O.D., P.C.
Other Organization Name
SOUTHGLENN EYECARE, PC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6650 S VINE ST SUITE 160 CENTENNIAL, CO 80121
Location Phone
(303) 798-5533
Location Fax
(303) 798-2800
Mailing Address
6650 S VINE ST SUITE 160 CENTENNIAL, CO 80121
Mailing Phone
(303) 798-5533
Mailing Fax
(303) 798-2800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2009
Last Update Date
09-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON F PEDERSON O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(303) 798-5533

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073742938, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 4 + 4 + 4 + 9 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1073742938.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Audiologist
6650 S VINE ST, L-10
CENTENNIAL, CO 80121
Optometrist (Corneal and Contact Management)
6650 S VINE ST, SUITE 160
CENTENNIAL, CO 80121
Dentist (General Practice)
6650 S VINE ST, SUITE 260
CENTENNIAL, CO 80121
Optometrist
6650 S VINE ST, 160
CENTENNIAL, CO 80121
Dentist (Endodontics)
6650 S VINE ST, STE 200
CENTENNIAL, CO 80121
Dentist (General Practice)
6650 S VINE ST, SUITE 260
CENTENNIAL, CO 80121
Dentist (Orthodontics and Dentofacial Orthopedics)
6650 S VINE ST, L-80
CENTENNIAL, CO 80121
Dentist
6650 S VINE ST, SUITE 240
CENTENNIAL, CO 80121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073742938, enumerated as an "organization" on July 13, 2009.

The provider is located at 6650 S VINE ST SUITE 160 CENTENNIAL, CO 80121 and the phone number is (303) 798-5533.

Optometrist with taxonomy code 152W00000X.