DR. JON F PEDERSON (NPI# 1407842628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407842628 |
| Entity Type | Individual |
| Full Name | DR. JON F PEDERSON |
| Credential | OD |
| Practice Address |
2275 E Arapahoe Rd Suite 105 Centennial CO 80122-1500 |
| Mailing Address |
1025 Milwaukee St Denver CO 80206-3337 |
| Practice Telephone | 3037985533 |
| Mailing Telephone | 7209418450 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2468 | CO | Eye and Vision Services Providers |
| Street Address |
2275 E ARAPAHOE RD SUITE 105 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80122-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982160933 | Alexandria Rodenbeek | Social Worker | Address: 7750 S Broadway #100, Littleton, CO 80122 | 2019-02-14 |
| 1306334495 | Dentists of Littleton, LLP | Dentist | 7330 S Broadway, Suite A130, Littleton, CO 80122 | 2018-04-25 |
| 1740789825 | Sarah Mccarthy | Social Worker | 5555 E. Arapahoe Rd., Arapahoe Medical Office, Centennial, CO 80122 | 2018-02-05 |
| 1447797105 | South Denver Musculoskeletal Surgical Partners, LLC | Clinic/Center | 300 E Mineral Ave Ste 9, Littleton, CO 80122 | 2017-01-19 |
| 1740645589 | Kristin Weller | Specialist/Technologist | 8117 S Franklin Ct, Centennial, CO 80122 | 2015-12-21 |
| 1831562024 | Vicki L. Earnshaw | Dental Hygienist | 7940 S. University Blvd., Suite 200, Centennial, CO 80122 | 2015-11-10 |
| 1194112847 | Mary Schroeter | Social Worker | 7950 S Lincoln St Ste 108, Littleton, CO 80122 | 2015-04-21 |
| 1568864981 | St Petro LLC | Assisted Living Facility | 7032 S Franklin St, Centennial, CO 80122 | 2014-09-17 |
| 1588009880 | Genesis Chiropractic Spine and Sports Center | Chiropractor | 7940 S University Blvd, Suite 100, Centennial, CO 80122 | 2013-05-01 |
| 1619218187 | Scott Richard Lapoint | Psychologist | 5161 E. Arapahoe Rd, Suite 415, Centennial, CO 80122 | 2013-03-08 |
| Find all providers in zip 80122 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245497452 | John L Schachet Od PC | Optometrist | 8586 E Arapahoe Rd, Ste 100, Centennial, CO 80112-1433 | 2008-05-16 |
| 1811031859 | Jerry R. Pederson, O.d. | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2735 | 2007-02-15 |
| 1699850412 | John L Schachet | Optometrist | 8586 E Arapahoe Rd, Ste 100, Centennial, CO 80112-1433 | 2006-10-27 |
| 1548376965 | Paul S Conkling | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-08-21 |
| 1346236999 | Jerry Ray Pederson | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2769 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033637046 | Alpenglow Eye Care, Pllc | Optometrist | 611 24 Rd, Grand Junction, CO 81505-1240 | 2017-08-30 |
| 1386014397 | Jeffrey B Holland Od PC | Optometrist | 1350 College Ave Unit 100, Boulder, CO 80302-7389 | 2015-10-02 |
| 1629353172 | Liz Erley | Optometrist | 3301 30th St, Boulder, CO 80301-1401 | 2011-10-17 |
| 1588860571 | Timothy L. Osius Jr. O.d. Inc. | Optometrist | 2980 Ginnala Dr., Suite A, Loveland, CO 80537-2701 | 2007-06-26 |
| 1194936401 | Ryan Thomas Smedley | Optometrist | 8405 Park Meadows Center Dr Ste 1000, Lone Tree, CO 80124-5025 | 2007-05-25 |
| 1891818316 | Superior Eye Care PC | Optometrist | 9948 W 99th Ave, Westminster, CO 80021-4298 | 2007-04-09 |
| 1639291107 | Johnna C Bontadelli | Optometrist | 917 Clydesdale Ln, Windsor, CO 80550-3135 | 2007-04-04 |
| 1164578373 | Nancy Barnard Smith | Optometrist | 1940 Greeley Mall # 27, Greeley, CO 80631-8520 | 2007-01-28 |
| 1154474187 | Kevin C. Pollard | Optometrist | 1516 Xavier St, Suite 101, Denver, CO 80204-1024 | 2007-01-21 |
| 1184794745 | Marc A Provencher | Optometrist | 4050 Timberline Rd, Suite 120, Fort Collins, CO 80525-6032 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80122 |
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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.