Individual
DR. SAMUEL HARVEY HORNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
40 2ND ST NW, CLEVELAND, TN 37311-5009
(423) 476-5341
(423) 472-0321
Mailing address
40 2ND ST NW, CLEVELAND, TN 37311-5009
(423) 476-5341
(423) 472-0321
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
000963
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113503
BLUE CROSS BLUE SHIELD
TN
05
—
113503
—
TN
01
—
602003553
CARITEN SR.
TN
Enumeration date
10/21/2005
Last updated
09/23/2015
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