ROBERT E PEDERSEN (NPI# 1821173972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821173972 |
| Entity Type | Individual |
| Full Name | ROBERT E PEDERSEN |
| Credential | O.D. |
| Practice Address |
255 E Weber Ave Stockton CA 95202-2706 |
| Practice Telephone | 2094665566 |
| Practice Fax Number | 2094665566 |
| Mailing Telephone | 2094665566 |
| Mailing Fax Number | 2094660535 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT8002TPA | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932179983 | Robert Alan Pedersen | Specialist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2006-01-24 |
| 1184281768 | Robert Pedersen | Emergency Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-05-20 |
| 1528356318 | Robert Daniel Pedersen | Student in an Organized Health Care Education/Training Program | 3332 Rochambeau Ave, 2nd Floor, Department of Orthodontics, Bronx, NY 10467-2836 | 2011-07-14 |
| 1831178078 | Robert L. Pedersen | Pediatrics | 5881 W 16th St, Greeley, CO 80634-2910 | 2006-01-16 |
| 1003807058 | Robert Christian Pedersen | Psychiatry & Neurology | 1 Jarrett White Road, Tripler Army Medical Center, Tripler Amc, HI 96859-5000 | 2005-10-31 |
| Street Address |
255 E WEBER AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740214634 | Zeiter Eye Medical Group, Inc. | Ophthalmology | 255 E Weber Ave, Stockton, CA 95202-2706 | 2006-07-10 |
| 1922634369 | Tejpal Kaur Sohal | Optometrist | 255 E Weber Ave, Stockton, CA 95202-2706 | 2020-03-17 |
| 1750687000 | Devinder Kaur Grewal | Optometrist | 255 E Weber Ave, Stockton, CA 95202-2706 | 2011-02-03 |
| 1982918660 | Zeiter Hearing Center, Inc | Hearing Aid Equipment | 255 E Weber Ave, Stockton, CA 95202-2706 | 2010-08-05 |
| 1588824494 | Joseph Edmond Zeiter | Internal Medicine | 255 E Weber Ave, Stockton, CA 95202-2706 | 2008-06-13 |
| 1518173749 | Steven A Wood | Optometrist | 255 E Weber Ave, Stockton, CA 95202-2706 | 2007-05-15 |
| 1427138619 | Richard Michael Wong | Ophthalmology | 255 E Weber Ave, Stockton, CA 95202-2706 | 2006-10-16 |
| 1447330634 | John Henry Zeiter | Ophthalmology | 255 E Weber Ave, Stockton, CA 95202-2706 | 2006-10-16 |
| 1588753909 | Joseph Tony Zeiter | Ophthalmology | 255 E Weber Ave, Stockton, CA 95202-2706 | 2006-10-12 |
| 1134232648 | John C. Canzano | Ophthalmology | 255 E Weber Ave, Stockton, CA 95202-2706 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316577562 | Valley Optometry PC | Optometrist | 87 W March Ln Ste 2, Stockton, CA 95207-5731 | 2020-01-16 |
| 1871045955 | Brandon Wong | Optometrist | 3566 Bluelake Cir, Stockton, CA 95219-1747 | 2016-10-25 |
| 1891171062 | Stephen Atallah | Optometrist | 2575 Grand Canal Blvd, Stockton, CA 95207-8260 | 2015-08-10 |
| 1083021752 | Vikram Girn | Optometrist | 2571 Blossom Cir, Stockton, CA 95212-3010 | 2014-07-15 |
| 1063825156 | Timothy Ng | Optometrist | 1101 E March Ln # 0, Stockton, CA 95210-4500 | 2014-06-05 |
| 1144661497 | Cheryl Inong De La Torre | Optometrist | 136 W Fulton St, Stockton, CA 95204-3110 | 2013-07-16 |
| 1568808905 | Daniel & Max, LLC | Optometrist | 6539 Pacific Ave, Stockton, CA 95207-3717 | 2013-05-13 |
| 1497901284 | Jenee S Lee Od Inc | Optometrist | 4637 Pine Valley Cir, Stockton, CA 95219-1876 | 2008-08-12 |
| 1588841365 | Crystal I Chen | Optometrist | 36 W Yokuts Ave Ste 1, Stockton, CA 95207-5713 | 2008-01-24 |
| 1659553709 | Chukweumeka Chikwendu | Optometrist | 7743 West Ln, Suite A2, Stockton, CA 95210-3348 | 2007-11-30 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.