Cox, Samuel E
Cox, Samuel E is an individual health care provider with primary practice located at 2306 Knob Creek Rd Suite 106, Johnson City TN 37604-2366. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cox, Samuel E can be contacted via phone (423) 929-2020.Contact Information
Primary practice address
2306 Knob Creek Rd Suite 106
Johnson City TN 37604-2366
Phone: (423) 929-2020
Fax: (423) 929-3140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TPOP25 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1349 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 105592 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV009264 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT1296 | Tennessee |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3663 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003453 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 030.0133915 | Vermont |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618002847 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 21391-875 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10889T | Texas |
Profile Details
| NPI number | 1972608974 |
|---|---|
| LBN Legal business name | Cox, Samuel E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 6th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972608974 | NPPES |
| North Carolina | MEDICAID | 5909102 | |
| North Carolina | Other | 1490P | |
| North Carolina | MEDICAID | 1506424 | |
| North Carolina | Other | 4012901 |
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