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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM R PEDERSEN, OD

Active Sole Proprietor

WILLIAM R PEDERSEN, OD is a Optometrist healthcare provider located in MARYVILLE, Tennessee. NPI 1568461564 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MARYVILLE, TN

Registration Details

NPI Number
1568461564
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2005 (21.053018421656 yrs)
Last Updated
Sep 15, 2014
License
OD0000000552 (TN)
Sole Proprietor
Yes

Practice Information

Address
730 W LAMAR ALEXANDER PKWY
MARYVILLE, TN, 378013900
Browse TN providers · Browse ZIP 37801
Phone
8659822020
Fax
8659702020
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MARYVILLE, TN

Name Credential NPI
DR. SHARON M BILLINGSLEY OD 1740263722
GARY L VINES OD 1790877975
DR. JANET T. PARKER O.D. 1366510513
DR. SARAH M. WATKINS O.D. 1518018753
DR. ALEX BONK O.D. 1962841981
DR. WILLIAM TANTUM O.D. 1316350291
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.