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Contact Information

JERRY R. PEDERSON, O.D.
6650 S VINE ST
SUITE 160
CENTENNIAL, CO80121-2735
 Phone: 303-798-5533
 Fax: 303-798-2800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for JERRY R PEDERSON OD · (Female)

NPI # 1811031859
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2007
Last updated 04/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 724
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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