Jacob Reed Bowen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003278 Issued in GA

Practice address

2282 E Pinetree Blvd
Thomasville, GA 31792-4807

Phone

(229) 226-6000

Fax

(229) 226-5859

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, AR, TN3 enrollments

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 3

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Mark a BowersGroup PAC ID 0840479457, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mark a. Bowers

  • Optometrist
  • Blountville, TN
  • NPI 1497279442
  Medicare reassignment Care Compare group
• Appalachian Eye Care Inc

  • Optometrist
  • Princeton, WV
  • NPI 1548551336
  Medicare reassignment NPD
• Ivory a. Kinslow, Mdpa

  • Ophthalmology Physician
  • El Dorado, AR
  • NPI 1376986539

  Optometrist

  Medicare reassignment NPD
• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  NPD
• Ivory a. Kinslow, Mdpa

  • Optometrist
  • Magnolia, AR
  • NPI 1124684923
  NPD
• Vistar Eye Center, Inc

  • Eyewear Supplier
  • Roanoke, VA
  • NPI 1265128037

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1639659949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924807",
            "telephone_number": "229-226-6000",
            "fax_number": "229-226-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924807",
            "telephone_number": "229-226-6000",
            "fax_number": "229-226-5859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3404 Greystone Way",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316051048",
            "country_code": "US",
            "telephone_number": "229-588-4545",
            "fax_number": "229-588-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686517",
            "country_code": "US",
            "telephone_number": "229-985-2020",
            "fax_number": "229-890-7741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JACOB",
        "middle_name": "REED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2793",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003278",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2053-IOD",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston William Leland Bogan
• Lee Boney, DMD
• Daniel Brock Bonner, NP-C
• Sarthak Bothra, MD
• Sarah Hardy Bouck, MD
• Sabrina Valeria Boykins-Everett, BS, MS, EDD
• Adam Stuart Bozeman, D.M.D,
• C. Ronnie Bozeman, DMD
• Tracy Brack, LPC
• Robert Lee Bradford, P.A.-C

• Optometrist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.