Southglenn Eyecare, PC
NPI #1114167947 in Centennial, Colorado
Provider Information
- NPI Number
- 1114167947
- Entity Type
- Organization
- Organization Name
- Southglenn Eyecare, PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 6, 2009
- Last Updated
- Mar 6, 2009
Practice Location
- Address
- 6650 S VINE ST
- Address 2
- 160
- City
- Centennial
- State
- Colorado
- ZIP Code
- 80121-2735
- Phone
- (303) 798-5533
Authorized Official
- Name
- DR. JON FREDERICK PEDERSON, O.D.
- Title
- DOCTOR
- Phone
- (303) 798-5533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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