Individual provider Active NPI

Samuel Asher Winston, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1346536562
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN2983 Issued in TN
Practice address
8609 Kingston Pike
Suite 101
Knoxville, TN 37923-5103
Phone
(865) 693-3441
Fax
(865) 769-8272
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TN2983 TN Primary

Addresses

Primary practice location

8609 Kingston Pike
Suite 101
Knoxville, TN 37923-5103

Mailing address

8609 Kingston Pike
Suite 101
Knoxville, TN 37923-5103
Phone (865) 693-3441

Other identifiers 10

IdentifierTypeStateIssuer
103I416085OtherTNMEDICARE PTAN #
1346536562OtherTNBLUE CROSS BLUE SHIELD BLUE ADVANTAGE
1346536562OtherTNEYEMED
1525118MedicaidTN
1346536562OtherTNBLUE CROSS BLUE SHIELD BLUE NETWORK P
103G706085OtherTNMEDICARE PTAN GROUP #
1346536562OtherTNSUPERIOR
1346536562OtherTNBLUE CROSS BLUE SHIELD BLUE NETWORK V
1346536562OtherTNBLUE CROSS BLUE SHIELD TENNCARE SELECT
1346536562OtherTNBLUE CROSS BLUE SHIELD BLUE CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000023 TN Practitioner - Optometry 8224206560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winston, Winston and Winston PCGroup PAC ID 5294854626, 2 clinicians

Practice addresses (Care Compare)

8609 Kingston Pike
Suite 101
Knoxville, TN 37923-5103
Phone (865) 693-3441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winston, Winston & Winston PC Optometrist CurrentSince Jun 27, 2011 Accepting new patients

Locations

8609 Kingston Pike
Ste 101
Knoxville, TN 37923
Phone (865) 693-3441

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1346536562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 KINGSTON PIKE",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235103",
            "telephone_number": "865-693-3441",
            "fax_number": "865-769-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 KINGSTON PIKE",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235103",
            "telephone_number": "865-693-3441",
            "fax_number": "865-769-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "SAMUEL",
        "middle_name": "ASHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "103I416085",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD BLUE ADVANTAGE",
            "identifier": "1346536562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "1346536562",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525118",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD BLUE NETWORK P",
            "identifier": "1346536562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP #",
            "identifier": "103G706085",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "1346536562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD BLUE NETWORK V",
            "identifier": "1346536562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TENNCARE SELECT",
            "identifier": "1346536562",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD BLUE CARE",
            "identifier": "1346536562",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.