Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southglenn Eyecare, PC

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

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

National Provider Identifier

1114167947

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Registry record

Entity type Organization (Type 2)

Legal business name Southglenn Eyecare, PC

Other name <Unavail>

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

Phone (303) 798-5533

Fax (303) 798-2800

Enumeration date Mar 6, 2009

Last updated in NPPES Mar 6, 2009

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 2468 (CO) Primary

Authorized official

Name Jon Pederson

Title Doctor

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.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-03-06. Verify at npiregistry.cms.hhs.gov.

Where is Southglenn Eyecare, PC located?

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

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-06.