Individual
DR. SAMUEL ASHER WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2983
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G706085
MEDICARE PTAN GROUP #
TN
01
—
103I416085
MEDICARE PTAN #
TN
01
—
1346536562
BLUE CROSS BLUE SHIELD BLUE ADVANTAGE
TN
05
—
1525118
—
TN
Enumeration date
06/27/2011
Last updated
03/14/2012
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