JERRY R PEDERSON, O.D., P.C.
NPI 1114167947
Optometrist in Centennial, CO

Q: What is Southglenn Eyecare, PC's NPI number?

The NPI number for Southglenn Eyecare, PC is 1114167947. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is also known as Jerry R Pederson, O.D., P.C..

Q: What is Southglenn Eyecare, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 06, 2009

6650 S VINE ST, 160, CENTENNIAL, CO 80121(303) 798-5533(303) 798-2800 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerry R Pederson, O.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY R PEDERSON, O.D., P.C. (NPI 1114167947) is a healthcare organization registered as an optometrist in Centennial, Colorado and active in the NPI registry since March 2009. The organization lists Jon Frederick Pederson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1114167947

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSOUTHGLENN EYECARE, PC

Location Address6650 S VINE ST, 160Centennial, CO 80121-2735

Mailing Address6650 S Vine St, 160Centennial, CO 80121-2735 · (303) 798-5533 · Fax (303) 798-2800

Phone(303) 798-5533

Fax(303) 798-2800

Organization SubpartNo

Authorized OfficialJon Frederick PedersonDoctor · (303) 798-5533

Enumeration DateMarch 6, 2009

✔ NPI 1114167947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CO · 2468

Definition

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.

6650 S VINE ST, Centennial, CO 80121

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Other Names 1

Other NameJerry R Pederson, O.d., P.c.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHGLENN ENDODONTICS

Dentist (Endodontics)

6650 S VINE ST, STE 200
CENTENNIAL, CO 80121

Arapahoe County (303) 797-3636

JERRY R. PEDERSON, O.D., P.C.

Optometrist

6650 S VINE ST, SUITE 160
CENTENNIAL, CO 80121

Arapahoe County (303) 798-5533

MICHAEL J. FRANQUEMONT, DDS,PLC

Dentist (General Practice)

6650 S VINE ST, SUITE 260
CENTENNIAL, CO 80121

Arapahoe County (303) 795-0066

SARAH JANE MEYER DDS PC

Dentist

6650 S VINE ST, SUITE 240
CENTENNIAL, CO 80121

Arapahoe County (303) 794-2456

MICHAEL JAMES FRANQUEMONT DDS

Dentist (General Practice)

6650 S VINE ST, SUITE 260
CENTENNIAL, CO 80121

Arapahoe County (303) 795-0066

JERRY R. PEDERSON, O.D.

Optometrist (Corneal and Contact Management)

6650 S VINE ST, SUITE 160
CENTENNIAL, CO 80121

Arapahoe County (303) 798-5533

MS. JOY L BARNEY MS CCC-A

Audiologist

6650 S VINE ST, L-10
CENTENNIAL, CO 80121

Arapahoe County (720) 283-7800

GRIN & BARRETT ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

6650 S VINE ST, L-80
CENTENNIAL, CO 80121

Arapahoe County (720) 529-5777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southglenn Eyecare, PC's NPI number?

The NPI number for Southglenn Eyecare, PC is 1114167947. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is also known as Jerry R Pederson, O.D., P.C..

Where is Southglenn Eyecare, PC located?

Southglenn Eyecare, PC is located at 6650 S Vine St 160, Centennial, CO 80121. The listed phone number is (303) 798-5533.

What is Southglenn Eyecare, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Southglenn Eyecare, PC was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.