Individual
DR. SAMUEL E COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2306 KNOB CREEK RD, SUITE 106, JOHNSON CITY, TN 37604-2366
(423) 929-2020
(423) 929-3140
Mailing address
154 E ELM CRES, THE WOODLANDS, TX 77382-1047
(423) 943-3079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030.0133915
VT
152W00000X
Optometrist
0618002847
VA
152W00000X
Optometrist
105592
IA
152W00000X
Optometrist
Primary
10889T
TX
152W00000X
Optometrist
1349
NC
152W00000X
Optometrist
21391-875
WI
152W00000X
Optometrist
3663
MN
152W00000X
Optometrist
ODT1296
TN
152W00000X
Optometrist
OPT.0003453
CO
152W00000X
Optometrist
TPOP25
FL
152W00000X
Optometrist
TUV009264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1490P
BCBS OF NC PROVIDER NUMBER
NC
05
—
1506424
—
TN
01
—
4012901
BCBS PROVIDER NUMBER
TN
05
—
5909102
—
NC
Enumeration date
09/14/2006
Last updated
11/06/2023
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