Provider Demographics
NPI:1609868421
Name:WINSTON, BARRY A (OD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:A
Last Name:WINSTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8609 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5103
Mailing Address - Country:US
Mailing Address - Phone:865-693-3441
Mailing Address - Fax:865-769-8272
Practice Address - Street 1:8609 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5103
Practice Address - Country:US
Practice Address - Phone:865-693-3441
Practice Address - Fax:865-769-8272
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3448970207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0054926OtherBLUE CROSS BLUE SHIELD
TN62073OtherCARITEN
TN2240008OtherUNITED HEALTH CARE
TNT61138Medicare UPIN
TN0054926OtherBLUE CROSS BLUE SHIELD