BARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION
NPI 1124224589
Optometrist in Yucca Valley, CA

Active since June 22, 2007
56970 YUCCA TRL # S-101, YUCCA VALLEY, CA 92284(760) 228-2020(760) 369-2020 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barton M Pedersen O.d. An Optometric Corporation NPPES

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

BARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION (NPI 1124224589) is a healthcare organization registered as an optometrist in Yucca Valley, California and active in the NPI registry since June 2007. The organization lists Barton M. Pedersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1124224589
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBARTON M PEDERSEN O.D. AN OPTOMETRIC CORPORATION
Location Address56970 YUCCA TRL # S-101Yucca Valley, CA 92284-3753
Mailing Address56970 Yucca Trl # S-101Yucca Valley, CA 92284-3753 · (760) 228-2020 · Fax (760) 369-2020
Fax(760) 369-2020
Organization SubpartNo
Authorized OfficialBarton M. PedersenOwner · (760) 228-2020
Enumeration DateJune 22, 2007
Last NPPES UpdateFebruary 25, 2010
NPI 1124224589 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 CA · OPT4600T
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.
56970 YUCCA TRL # S-101, Yucca Valley, CA 92284

Other Identifiers 20

OtherZZZ696612CA · Blue Shield
Other1134103484CA · Dennis G. Lowman O.d.
Other1215911565CA · Charles J. Baus, O.d.
Medicare ID-Type UnspecifiedSD0046000CA · Barton M. Pedersen, O.d.
MedicaidSD0121830CA
Medicare UPINU92857CA
Medicare UPINT09711CA
Medicare PINSD0087871CA
Medicare PINSD0045741CA
Other410004661CA · Railroad Medicare
Other1043294929CA · Ronald Y. Hayashida, O.d.
Medicare UPINU25818CA
Medicare UPINT09703CA
Medicare ID-Type UnspecifiedSD0012183CA · Charles J. Baus
MedicaidSD0046000CA
Medicare ID-Type UnspecifiedZZZ24908ZCA · Group Medicare Id
MedicaidSD0045740CA
Medicare NSC0313520001CA
Other1336123686CA · Barton M. Pedersen, O.d.
Other1124224589CA · Group Npi

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

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 Barton M Pedersen O.D. An Optometric Corporation's NPI number?

The NPI number for Barton M Pedersen O.D. An Optometric Corporation is 1124224589. It was assigned to this organization in the NPPES registry on June 22, 2007.

Where is Barton M Pedersen O.D. An Optometric Corporation located?

Barton M Pedersen O.D. An Optometric Corporation is located at 56970 Yucca Trl # S-101, Yucca Valley, CA 92284. The listed phone number is (760) 228-2020.

What is Barton M Pedersen O.D. An Optometric Corporation'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 Barton M Pedersen O.D. An Optometric Corporation was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.