Active NPI
Mark a. Bowers
Doing business as Blountville Family Eyecare
- Optometrist
- Blountville, TN
National Provider Identifier
1497279442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2336
- Legal business name
- MARK A. BOWERS
- Doing business as
- Blountville Family Eyecare
- Practice address
- 2554 Highway 394
Blountville, TN 37617 - Phone
- (423) 323-3799
- Fax
- (423) 323-3752
- NPI assigned
- Aug 1, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy K Sharpe
- Title
- Office Manager
- Phone
- (423) 323-3799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2336 | TN | Primary |
Addresses
Primary practice location
2554 Highway 394
Blountville, TN 37617
Mailing address
2554 Highway 394
Blountville, TN 37617-4133
Phone (423) 323-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4087308 | Other | TN | BLUE CROSS PROVIDER NUMBER |
Other names 1
- Blountville Family Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1323 Highway 394
Ste B
Blountville, TN 37617
Phone (423) 323-3799
2554 Highway 394
Blountville, TN 37617
Phone (423) 323-3799
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Blountville, TN
- NPI 1356438915
-
- Optometrist
- Blountville, TN
- NPI 1750452215
-
- Optometrist
- Powell, TN
- NPI 1902255326
-
- Optometrist
- Reading, MA
- NPI 1770073173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1497279442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2554 HIGHWAY 394",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376174133",
"telephone_number": "423-323-3799",
"fax_number": "423-323-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 HIGHWAY 394",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "37617",
"telephone_number": "423-323-3799",
"fax_number": "423-323-3752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A. BOWERS",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"certification_date": "2021-08-10",
"status": "A",
"authorized_official_last_name": "SHARPE",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "423-323-3799"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBER",
"identifier": "4087308",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blountville Family Eyecare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Blountville Family Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blountville, TN
- Tanya Rae Light, BSN RN
- Sarah E Linnane, CPM, CPM-TN
- Chelsea Paige Long, REGISTERED NURSE
- Autumn Samantha Longworth, CRNA
- Russell B Mantooth, PHARMD
- Everett Ellison McDuffie, M.D.
- Heather Leann McElyea
- Kelly McKaig
- Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Nick Patel, M.D.)
- Michael Miller Messamore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.