Kristine Pedersen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0004036 Issued in CO

Practice address

11961 Lioness Way
Parker, CO 80134-5302

Phone

(303) 794-1111

NPI assigned

Nov 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Abba Eye Care PCGroup PAC ID 1355231051, 26 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1952301129
  Medicare reassignment Care Compare group NPD
• One Hour Optical Medical Services, PC

  dba One Hour Optical

  • Optometrist
  • Denver, CO
  • NPI 1770648297
  Medicare reassignment Care Compare group NPD
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992919419
  NPD
• One Hour Optical Medical Services, PC

  dba Eyecare Specialties of Colorado

  • Optometrist
  • Greenwood Village, CO
  • NPI 1437471414
  NPD
• Doctors Optical, Inc.

  dba One Hour Optical

  • Optician
  • Denver, CO
  • NPI 1427259159
  NPD (past)

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1982420899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11961 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345302",
            "telephone_number": "303-794-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11961 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345302",
            "telephone_number": "303-794-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "KRISTINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0004036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Pearce, N.P.
• Janae A Pearce
• Katherine Alicia Pearce, MD
• Shannon Bramall Pearce, FNP-BC
• Christie Browne Peck, DPT
• Lindsey Pederson
• Pediatric & Adolescent Medicine (Crown Point Pediatrics)
• Pediatric and Adolescent Medicine Associates PC (Crown Point Pediatrics)
• Pediatric Gastroenterology Consultants PC
• Pediatric Neurology and Epilepsy Specialists, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.