RICHARD T PEDERSEN (NPI# 1164493631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164493631 |
| Entity Type | Individual |
| Full Name | RICHARD T PEDERSEN |
| Credential | OD |
| Practice Address |
1625 E Platte Ave Colorado Springs CO 80909-5620 |
| Practice Telephone | 7196344327 |
| Practice Fax Number | 7196330284 |
| Mailing Telephone | 7196344327 |
| Mailing Fax Number | 7196330284 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 860 | CO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326359050 | Richard Waldemar Pedersen | Nurse Anesthetist, Certified Registered | 2120 N 57th Way, Hollywood, FL 33021-3827 | 2010-06-28 |
| 1568593499 | Richard A Pedersen | Dentist | 2075 St Hwy 105, Grayland, WA 98547-0180 | 2007-03-09 |
| Street Address |
1625 E PLATTE AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221704 | Jeffrey Reed Tidswell | Optometrist | 1625 E Platte Ave, Colorado Springs, CO 80909-5620 | 2005-11-03 |
| 1710353891 | Tidswell Eyecare, Inc. | Optometrist | 1625 E Platte Ave, Colorado Springs, CO 80909-5620 | 2015-08-12 |
| 1518214311 | Pierre Anctil. Od PC | Optometrist | 1625 E Platte Ave, Colorado Springs, CO 80909-5620 | 2012-08-10 |
| 1306002969 | Richard T Pedersen Od PC | Optometrist | 1625 E Platte Ave, Colorado Springs, CO 80909-5620 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1538708052 | Bauer Eyecare Pllc | Optometrist | 3625 Star Ranch Rd, Colorado Springs, CO 80906-5980 | 2020-01-01 |
| 1104460682 | Optimism Eye Care Co Pllc | Optometrist | 4130 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2019-10-29 |
| 1881256147 | Eye Love Care Inc | Optometrist | 4465 Northpark Dr Ste 208, Colorado Springs, CO 80907-4238 | 2019-07-07 |
| 1063073245 | Jade Mclachlin | Optometrist | 3532 Van Teylingen Dr Apt C, Colorado Springs, CO 80917-4822 | 2019-06-27 |
| 1588225130 | Katherine Austin Barton | Optometrist | 1803 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-06-25 |
| 1447818869 | Allison Anne Ruehlen | Optometrist | 4195 Centennial Blvd, Colorado Springs, CO 80907-3767 | 2019-05-31 |
| 1386116168 | Infocus Eye Care, Pllc | Optometrist | 1234 E Woodmen Rd Unit 120, Colorado Springs, CO 80920-8248 | 2018-12-18 |
| 1720574544 | Devin Jackson | Optometrist | 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917-5911 | 2018-07-04 |
| 1508383126 | Abba Dry Eye & Allergy Clinic, P.C. | Optometrist | 4465 Northpark Dr Ste 206, Colorado Springs, CO 80907-4238 | 2017-08-24 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.