| Southglenn Eyecare, Pc | |
|
6650 S Vine St, Suite 160, Centennial, CO 80121-2769 | |
| (303) 798-5533 | |
| (303) 798-2800 |
| Full Name | Southglenn Eyecare, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6650 S Vine St, Centennial, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073742938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jon F Pederson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407842628 PECOS PAC ID: 7517900772 Enrollment ID: I20050608000549 |
| Provider Name | Samantha Kincaid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629483144 PECOS PAC ID: 8527375195 Enrollment ID: I20180927000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Southglenn Eyecare, Pc 6650 S Vine St, Suite 160, Centennial, CO 80121-2769 Ph: (303) 798-5533 | Southglenn Eyecare, Pc 6650 S Vine St, Suite 160, Centennial, CO 80121-2769 Ph: (303) 798-5533 |
Dr. Ashley D Rieple, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5555 E Arapahoe Rd, Centennial, CO 80122 Phone: 303-338-4545 | |
Madison Street Provider Network Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6881 S Yosemite St, Centennial, CO 80112 Phone: 303-733-2020 Fax: 303-377-2022 | |
Jerry R Pederson, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6650 S Vine St, 160, Centennial, CO 80121 Phone: 303-798-5533 Fax: 303-798-2800 | |
Dr. Walter Frederick Morton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7960 S University Blvd, Suite 102, Centennial, CO 80122 Phone: 303-761-2345 Fax: 303-761-3535 | |
One Hour Optical Medical Services, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8586 E Arapahoe Rd Ste 100, Centennial, CO 80112 Phone: 303-771-4221 | |
Dr. Ronald Dean Fancher I, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8082 S Niagara Way, Centennial, CO 80112 Phone: 720-529-3973 |