William R Pedersen in Maryville - Optometrist
William R Pedersen - NPI 1568461564
William R Pedersen is a Optometrist in Maryville, Tennessee. William R Pedersen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for William R Pedersen is 1568461564. The last update date is 2014-09-15.
William R Pedersen's current location address is 730 W Lamar Alexander Pkwy, Maryville, Tennessee. You can contact this provider via phone number 8659822020 and fax number 8659702020. The mailing address for William R Pedersen is 730 W Lamar Alexander Pkwy, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William R Pedersen |
|---|---|
| Address | 730 W Lamar Alexander Pkwy, Maryville, Tennessee |
| Phone Number | 8659822020 |
| Fax Number | 8659702020 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1568461564 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2014-09-15 |
Provider Mailing Address Detail
| Address | 730 W Lamar Alexander Pkwy |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378013900 |
| Phone Number | 8659822020 |
| Fax Number | 8659702020 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD0000000552 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 602004601 | CARITEN | ||
| 620927830 | UNITED HEALTHCARE | ||
| 2005369 | TN | BLUE CROSS BLUE SHIELD | |
| 620927830 | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to William R Pedersen by the Centers for Medicare & Medicaid Services?
The William R Pedersen has been assigned the NPI (National Provider Identifier) 1568461564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where William R Pedersen is geographically located?
The William R Pedersen is physically situated at the following location: 730 W Lamar Alexander Pkwy, Maryville, TN, 378013900.
What is William R Pedersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The William R Pedersen's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the William R Pedersen receive its 1568461564 assignment from the Centers for Medicare & Medicaid Services?
The William R Pedersen was assigned its 1568461564 by the Centers for Medicare & Medicaid Services on 2005-07-20.
As of what date was the information pertaining to William R Pedersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to William R Pedersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-15.
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