JERRY R. PEDERSON, O.D.
NPI 1811031859
Optometrist - Corneal and Contact Management in Centennial, CO

Q: What is Jerry R. Pederson, O.D.'s NPI number?

The NPI number for Jerry R. Pederson, O.D. is 1811031859. It was assigned to this organization in the NPPES registry on February 15, 2007.

Q: What is Jerry R. Pederson, O.D.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Active since February 15, 2007

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

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry R. Pederson, O.d. NPPES

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

JERRY R. PEDERSON, O.D. (NPI 1811031859) is a healthcare organization registered as a corneal and contact management in Centennial, Colorado and active in the NPI registry since February 2007. The organization lists Jerry Ray Pederson, Owner, as its authorized official.

NPPES Registry Identity

NPI1811031859

Entity TypeOrganization

Primary Taxonomy152WC0802X

Legal Business NameJERRY R. PEDERSON, O.D.

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

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

Phone(303) 798-5533

Fax(303) 798-2800

Organization SubpartNo

Authorized OfficialJerry Ray PedersonOwner · (303) 798-5533

Enumeration DateFebruary 15, 2007

Last NPPES UpdateApril 17, 2008

✔ NPI 1811031859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in CO · 724

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

6650 S VINE ST, Centennial, CO 80121

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Other Identifiers 2

Medicare PINC78053CO

Medicare UPINT60730CO

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

SOUTHGLENN EYECARE, PC

Optometrist

6650 S VINE ST, 160
CENTENNIAL, CO 80121

Arapahoe County (303) 798-5533

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

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 Jerry R. Pederson, O.D.'s NPI number?

The NPI number for Jerry R. Pederson, O.D. is 1811031859. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Jerry R. Pederson, O.D. located?

Jerry R. Pederson, O.D. is located at 6650 S Vine St Suite 160, Centennial, CO 80121. The listed phone number is (303) 798-5533.

What is Jerry R. Pederson, O.D.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Jerry R. Pederson, O.D. was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.