DEREK S PEVELER — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, TN)
DEREK S PEVELER — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, TN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DEREK S PEVELER; Type: Individual; NPI: 1003104571.
| Name | DEREK S PEVELER |
|---|---|
| Type | Individual |
| NPI | 1003104571 |
| Provider type | PRACTITIONER - OPTOMETRY |
| State | TN |
| Enrollment ID | I20111103000019 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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