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Contact Information

SAMUEL H HORNER III, OD
40 2ND ST NW
CLEVELAND, TN37311-5009
 Phone: 423-476-5341
 Fax: 423-472-0321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for SAMUEL H HORNER III · (Male)

NPI # 1164412102
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/21/2005
Last updated 09/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 000963
  • TN Medicaid 113503
  • TN Other 113503 BLUE CROSS BLUE SHIELD
  • TN Other 602003553 CARITEN SR.
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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