Individual provider Active NPI

Jonathan Thomas Lowery, OD

  • Optometrist
  • Nacogdoches, TX
National Provider Identifier
1679313191
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11126 Issued in TX
Practice address
3208 N University Dr
Nacogdoches, TX 75965-2633
Phone
(936) 564-3937
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11126 TX Primary

Addresses

Primary practice location

3208 N University Dr
Nacogdoches, TX 75965-2633

Mailing address

609 Spring Creek Dr
Nacogdoches, TX 75965-7020
Phone (936) 652-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240611003162 TX Practitioner - Optometry 6901348515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nacogdoches Eye Associates, PLLCGroup PAC ID 2567647613, 4 clinicians

Practice addresses (Care Compare)

3208 N University Dr
Suite B
Nacogdoches, TX 75965-2634
Phone (936) 564-7661

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11126TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nacogdoches Eye Associates, PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Mark Lanier OD PC Optometrist PastSince Jun 2, 2024 Accepting new patients

Locations

3208 N University Dr
Ste B
Nacogdoches, TX 75965
Phone (936) 564-7661

3208 N University Dr
Nacogdoches, TX 75965
Phone (936) 564-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1679313191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SPRING CREEK DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759657020",
            "telephone_number": "936-652-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652633",
            "telephone_number": "936-564-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.