IndividualActive
Jessica Pederson
NPI 1679107973 · Technician/Technologist · Decatur, GA
Provider details
- NPI number
- 1679107973
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
160 Clairemont Ave Ste 625
Decatur, GA 30030-2541
Phone: (678) 954-5721
Approximate (ZIP-level) locationGet directions
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2020-02-25
- Certified
- 2020-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.