Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry R. Pederson, OD, PC

Organization Optometrist · NPI 1073742938

Jerry R. Pederson, OD, PC is an Optometrist in Centennial, Colorado. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6650 S Vine St Ste 160
Centennial, CO 80121-2769
Phone: (303) 798-5533
Fax: (303) 798-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1073742938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Pederson — Owner · (303) 798-5533
Other names Southglenn Eyecare, Pc; Southglenn Eyecare, Pc
NPI enumeratedJuly 13, 2009
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address6650 S Vine St, Suite 160, Centennial, CO 80121-2769

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