William Randolph Pedersen (NPI# 1568461564, PAC ID# 4486787074) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1568461564 |
| PAC ID by PECOS | 4486787074 |
| Professional Enrollment ID | I20100803000768 |
| Full Name | William Randolph Pedersen |
| Organization Legal Name | STEVEN D. ELLIOTT, O.D. AND ASSOCIATES, INC. |
| Address |
6719 Maynardville Pike Knoxville TN 37918-5348 |
| Phone Number | 8659223937 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1974 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3577752526 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6719 Maynardville Pike, Knoxville, TN 37918-5348 | 8659223937 | STEVEN D. ELLIOTT, O.D. AND ASSOCIATES, INC. |
| Organization Legal Name | STEVEN D. ELLIOTT, O.D. AND ASSOCIATES, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Kolarik | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Caroline Babb-poveromo | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Steven D Elliott | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Rochelle Kathleen Parks | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Janet Thomas Parker | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Tiffany L Hesse | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Emily Savannah Hammer | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Kenneth Wayne Nix | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 2681 Andersonville Hwy, Suite 101, Clinton, TN 37716-6706 |
| Donald W Connell | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 6719 Maynardville Pike, Knoxville, TN 37918-5348 |
| Street Address |
6719 MAYNARDVILLE PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip | 37918-5348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald W Connell | Optometry | Steven D. Elliott, O.d. and Associates, Inc. | 6719 Maynardville Pike, Knoxville, TN 37918-5348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Cawrse Jr. | Chiropractic | Fountain City Chiropractic Clinic | 305 Hotel Ave, Knoxville, TN 37918 |
| Pradumna S Jain | Psychiatry | 3105 Essary Rd, Knoxville, TN 37918 | |
| Patricia K Cawrse | Chiropractic | Fountain City Chiropractic Clinic | 305 Hotel Ave, Knoxville, TN 37918 |
| Amber Barnard | Physician Assistant | 1924 Dutch Valley Dr, Suite 3, Knoxville, TN 37918-1695 | |
| Daniel J Martin | Physician Assistant | Tn Premier Care LLC | 1924 Dutch Valley Dr, Suite 3, Knoxville, TN 37918-1695 |
| Sally R Hensley | Nurse Practitioner | Tn Premier Care LLC | 1924 Dutch Valley Dr, Suite 3, Knoxville, TN 37918-1695 |
| Samuel W Mcgaha | Family Practice | Tn Premier Care LLC | 1924 Dutch Valley Dr, Suite 3, Knoxville, TN 37918-1695 |
| Sharon Jessee | Nurse Practitioner | Tn Premier Care LLC | 1924 Dutch Valley Dr, Knoxville, TN 37918-1695 |
| Ladonna Hubbard | Nurse Practitioner | Tn Premier Care LLC | 1924 Dutch Valley Dr, Knoxville, TN 37918-1695 |
| Regina L Roberts | Clinical Social Worker | 2401 Dutch Valley Dr, Suite 12, Knoxville, TN 37918-1731 | |
| Find all physicians in zip 37918 | |||
| City | KNOXVILLE |
| Zip Code | 37918 |
| Specialty | OPTOMETRY |
| City + Specialty | KNOXVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on William Randolph Pedersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.