DEANNA MONIQUE PEDROZA (O.D.) – Optometrist, NPI 1740412121

DEANNA MONIQUE PEDROZA (O.D.) is a healthcare provider. based in Thornton, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2737 (CO). The NPI Number for DEANNA MONIQUE PEDROZA (O.D.) is 1740412121

Main info

Female
Sole Proprietor
17 Years Of Experience
Name
DEANNA MONIQUE PEDROZA (O.D.)
NPI
1740412121
Phone
(303) 920-3937
Address
550 THORNTON PKWY
Enumeration Date
18 August 2009
Last Update Date
3 December 2012

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3034502020
Graduation Year
2009 (17 years ago)
PAC ID
1557407293
Group Practice PAC ID
8123152113
Professional Enrollment ID
I20091009000189
Address ID
CO806027051TH13695BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for DEANNA MONIQUE PEDROZA (O.D.)

  • Kandy’s Kutz Beauty Salon, 550, Thornton Parkway, Thornton, Adams County, Colorado, 80229, United States

    SUITE # 222

    THORNTON, CO 802292100

    Phone: (303) 920-3937

    Fax: (719) 542-0425

    Type: Location

  • 13142, Grant Circle North, Thorncreek Village, Thornton, Adams County, Colorado, 80241, United States

    UNIT B

    THORNTON, CO 802413498

    Phone: (720) 217-7644

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $346.

Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($210).

Total Amount

$346

General + Research + Ownership

Payments

5

Total payment records

General Amount

$346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091009000189IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123152113View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCA
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

Can I verify DEANNA MONIQUE PEDROZA (O.D.) with an NPI only?
You can start verification with NPI 1740412121 for DEANNA MONIQUE PEDROZA (O.D.), then check state licensing separately.
Is DEANNA MONIQUE PEDROZA (O.D.) listed as active for patients and plans?
The listing shows DEANNA MONIQUE PEDROZA (O.D.) as active in the NPI system.
What taxonomy line describes DEANNA MONIQUE PEDROZA (O.D.)?
For research purposes, treat DEANNA MONIQUE PEDROZA (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DEANNA MONIQUE PEDROZA (O.D.)?
DEANNA MONIQUE PEDROZA (O.D.)'s geographic hint is Thornton, Colorado in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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