Individual
DR. SAMUEL ASHER WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8609 KINGSTON PIKE, SUITE 101, KNOXVILLE, TN 37923-5103
(865) 693-3441
(865) 769-8272
Mailing address
8609 KINGSTON PIKE, SUITE 101, KNOXVILLE, TN 37923-5103
(865) 693-3441
(865) 769-8272
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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