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ROBERT E PEDERSEN O.D.
NPI 1821173972
Optometrist in Stockton, CA

Active since October 26, 2006
80.95/100
CMS Quality Rating
255 E WEBER AVE, STOCKTON, CA 95202(209) 466-5566(209) 466-5566 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert E Pedersen O.d. NPPES

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

ROBERT E PEDERSEN O.D. (NPI 1821173972) is an individual optometrist in Stockton, California, licensed in California (OPT8002TPA) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1821173972
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameROBERT E PEDERSENCredential: O.D.
Location Address255 E WEBER AVEStockton, CA 95202-2706
Mailing Address255 E Weber AveStockton, CA 95202-2706 · (209) 466-5566 · Fax (209) 466-0535
Phone(209) 466-5566
Fax(209) 466-5566
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1821173972 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 · OPT8002TPA
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.
255 E WEBER AVE, Stockton, CA 95202
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Other Identifiers 8

Medicare PINSD0080021CA
Medicare PINBU701VCA
Medicare PINBU701YCA
Medicare PINBU701TCA
Medicare PINBU701XCA
Medicare UPINU12255CA
Medicare PINBU701Z
Medicare PINBU701WCA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.85

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
86%21 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

DR. JOHN C. CANZANO M.D.
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
RICHARD MICHAEL WONG M.D.
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
JOHN HENRY ZEITER M.D.
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
STEVEN A WOOD O.D.
Optometrist
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
JOSEPH TONY ZEITER MD
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
DR. JOSEPH EDMOND ZEITER M.D.
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
ZEITER EYE MEDICAL GROUP, INC
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566
ZEITER EYE MEDICAL GROUP, INC.
Ophthalmology
255 E WEBER AVE
STOCKTON, CA 95202
San Joaquin County (209) 466-5566

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 Robert Pedersen's NPI number?

The NPI number for Robert Pedersen is 1821173972. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Robert Pedersen located?

Robert Pedersen practices at 255 E Weber Ave, Stockton, CA 95202. The listed phone number is (209) 466-5566.

What is Robert Pedersen'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 Robert Pedersen was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.