William R Pedersen

NPI #1063682383 in Maryville, Tennessee

Provider Information

NPI Number: 1063682383
Entity Type: Organization
Organization Name: William R Pedersen
Primary Specialty: Optometrist
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 730 WEST LAMAR ALEXANDER PKWY
City: Maryville
State: Tennessee
ZIP Code: 37801
Phone: (865) 982-2020

Authorized Official

Name: WILLIAM R PEDERSEN, OD
Title: OWNER
Phone: (865) 982-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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