Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

William R Pedersen, OD

Optometrist in Maryville, TN · enumerated 2005 · practices at Steven D. Elliott, O.D. & Associates, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568461564

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Registry record

Entity type Individual (Type 1)

Name William R Pedersen

Credential OD

Sex Male

Practice address Maryville, TN, 37801

Phone (865) 982-2020

Fax (865) 970-2020

Enumeration date Jul 20, 2005

Last updated in NPPES Sep 15, 2014

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OD0000000552 (TN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
602004601	Other	-	CARITEN
620927830	Other	-	UNITED HEALTHCARE
2005369	Other	TN	BLUE CROSS BLUE SHIELD
620927830	Other	-	CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for William Pedersen?

The National Provider Identifier (NPI) for William Pedersen is 1568461564, a Type 1 (individual) record in the CMS NPPES registry.

Where does William Pedersen practice?

The practice location on file with NPPES is in Maryville, TN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Steven D. Elliott, O.D. & Associates, Inc. Optometrist · Maryville, TN NPI 1336504711 Jared Dix Optometrist · Maryville, TN NPI 1891427787

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-15.