WILLIAM R PEDERSEN OD
NPI 1568461564
Optometrist in Maryville, TN

Q: What is William Pedersen's NPI number?

The NPI number for William Pedersen is 1568461564. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is William Pedersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Pedersen was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 20, 2005PECOS Enrolled

730 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801(865) 982-2020(865) 970-2020 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About William R Pedersen Od NPPES

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

WILLIAM R PEDERSEN OD (NPI 1568461564) is an individual optometrist in Maryville, Tennessee, licensed in Tennessee (OD0000000552) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568461564

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameWILLIAM R PEDERSENCredential: OD

Location Address730 W LAMAR ALEXANDER PKWYMaryville, TN 37801-3900

Mailing Address730 W Lamar Alexander PkwyMaryville, TN 37801-3900 · (865) 982-2020 · Fax (865) 970-2020

Phone(865) 982-2020

Fax(865) 970-2020

Sole ProprietorYes

Enumeration DateJuly 20, 2005

Last NPPES UpdateSeptember 15, 2014

✔ NPI 1568461564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TN · OD0000000552

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 W LAMAR ALEXANDER PKWY, Maryville, TN 37801

Open in Google Maps ↗

Other Identifiers 8

Other602004601Cariten

Other620927830Cigna

Medicare NSC0175360001TN

Medicare PIN410014914TN

Other620927830United Healthcare

Other2005369TN · Blue Cross Blue Shield

Medicare UPINT61145TN

Medicare PIN3593619TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William R Pedersen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN D. ELLIOTT, O.D. & ASSOCIATES, INC.

Optometrist

730 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801

Blount County (865) 982-2020

JARED DIX OD

Optometrist

730 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801

Blount County (865) 982-2020

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 Pedersen's NPI number?

The NPI number for William Pedersen is 1568461564. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is William Pedersen located?

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

What is William Pedersen's specialty?

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

Is William Pedersen enrolled in Medicare?

Yes. William Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Pedersen was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.