Richard T Pedersen OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

860 Issued in CO

Legal business name

RICHARD T PEDERSEN OD PC

Practice address

1625 E Platte Ave
Colorado Springs, CO 80909-5620

Phone

(719) 634-4327

Fax

(719) 633-0284

NPI assigned

Aug 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Gail Margaret Lembergs

Title

Insurance Specialist

Phone

(719) 634-4327

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1306002969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E PLATTE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095620",
            "telephone_number": "719-634-4327",
            "fax_number": "719-633-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E PLATTE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095620",
            "telephone_number": "719-634-4327",
            "fax_number": "719-633-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD T PEDERSEN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "LEMBERGS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "719-634-4327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan McKay Rich, MD
• Terry Ellsworth Rich, DDS
• Richard Harbison MDPC
• Richard J. Rygiel, M.D., Inc.
• Richard L. Carter DDS PC
• Richard Walford DC, PC
• Tessa Richard
• Arianna Richards
• Carrie Louise Richards
• Emily Richards

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.