1. Home
  2. Directory
  3. Tennessee
  4. Maryville
  5. Optometrist
  6. NPI Profile

WILLIAM R PEDERSEN
NPI 1063682383
Optometrist in Maryville, TN

Active since March 03, 2008
730 WEST LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801(865) 982-2020(865) 970-2020 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William R Pedersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM R PEDERSEN (NPI 1063682383) is a healthcare organization registered as an optometrist in Maryville, Tennessee and active in the NPI registry since March 2008. The organization lists William R Pedersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1063682383
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWILLIAM R PEDERSEN
Location Address730 WEST LAMAR ALEXANDER PKWYMaryville, TN 37801
Mailing Address730 West Lamar Alexander PkwyMaryville, TN 37801 · (865) 982-2020 · Fax (865) 970-2020
Phone(865) 982-2020
Fax(865) 970-2020
Organization SubpartNo
Authorized OfficialWilliam R PedersenOwner · (865) 982-2020
Enumeration DateMarch 3, 2008
✔ NPI 1063682383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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 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.
730 WEST LAMAR ALEXANDER PKWY, Maryville, TN 37801
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0175360001TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William R Pedersen's NPI number?

The NPI number for William R Pedersen is 1063682383. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is William R Pedersen located?

William R Pedersen is located at 730 West Lamar Alexander Pkwy, Maryville, TN 37801. The listed phone number is (865) 982-2020.

What is William R Pedersen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for William R Pedersen was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.