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

Southglenn Eyecare, PC

Organization Optometrist · NPI 1114167947

Southglenn Eyecare, PC is an Optometrist in Centennial, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

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

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Practice location Address checks out

6650 S Vine St 160
Centennial, CO 80121-2735
Phone: (303) 798-5533
Fax: (303) 798-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2468 (CO)

Record details

NPI number1114167947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Pederson — Doctor · (303) 798-5533
Other names Jerry R Pederson, O.D., P.C.
NPI enumeratedMarch 6, 2009
Last updated in NPPESMarch 6, 2009
Mailing address6650 S Vine St, 160, Centennial, CO 80121-2735

Other providers in Centennial