Jerry R. Pederson, O.d. - Optometrist in Centennial, CO

Jerry R. Pederson, O.d. is a Optometrist - Corneal And Contact Management based in Centennial, Colorado. Jerry R. Pederson, O.d. is licensed to practice in Colorado (license number 724) and their current practice location is 6650 S Vine St, Suite 160, Centennial, Colorado. It can be reached at their office (for appointments etc.) via phone at (303) 798-5533.

NPI number for Jerry R. Pederson, O.d. is 1811031859 and their current mailing address is 6650 S Vine St, Suite 160, Centennial, Colorado. Jerry R. Pederson, O.d. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811031859.

Contact Information

Jerry R. Pederson, O.d.
6650 S Vine St, Suite 160,
Centennial, CO 80121-2735
(303) 798-5533
(303) 798-2800

Map and Direction




Healthcare Provider's Profile

Full NameJerry R. Pederson, O.d.
TypeFacility
SpecialityOptometrist - Corneal And Contact Management
Location6650 S Vine St, Centennial, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811031859
  • Provider Enumeration Date: 02/15/2007
  • Last Update Date: 04/17/2008

Medical Identifiers

Medical identifiers for Jerry R. Pederson, O.d. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811031859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WC0802XOptometrist - Corneal And Contact Management 724 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry R. Pederson, O.d. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry R. Pederson, O.d.
6650 S Vine St, Suite 160,
Centennial, CO 80121-2735

Ph: (303) 798-5533
Jerry R. Pederson, O.d.
6650 S Vine St, Suite 160,
Centennial, CO 80121-2735

Ph: (303) 798-5533

Reviews and Comments


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