Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jerry R. Pederson, O.D., P.C.

Optometrist in Centennial, CO · enumerated 2009 · authorized official Jon Pederson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073742938

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Registry record

Entity type Organization (Type 2)

Legal business name Jerry R. Pederson, O.D., P.C.

Other name <Unavail>

Practice address 6650 S Vine St, Suite 160, Centennial, CO, 80121

Phone (303) 798-5533

Fax (303) 798-2800

Enumeration date Jul 13, 2009

Last updated in NPPES Sep 15, 2020

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Jon Pederson

Title Owner

Phone (303) 798-5533

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Jerry R. Pederson, O.D., P.C. located?

The practice location on file with NPPES is in Centennial, CO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-15.