Individual provider Active NPI

Grace Elizabeth Owens, OD

  • Optometrist
  • Tullahoma, TN
National Provider Identifier
1790671089
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3949 Issued in TN
Practice address
1100 N Jackson St
Tullahoma, TN 37388-2336
Phone
(931) 393-2020
Fax
(913) 913-0030
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3949 TN Primary

Addresses

Primary practice location

1100 N Jackson St
Tullahoma, TN 37388-2336

Mailing address

2606 Blue Spring Rd
Decherd, TN 37324-3998
Phone (931) 307-3939

Other practice location 1

301 Colloredo Blvd Ste C
Shelbyville, TN 37160-2839
Phone (931) 684-0191

Other practice location 2

2020 Cowan Hwy Ste 100
Winchester, TN 37398-2403
Phone (931) 967-7939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250710003427 TN Practitioner - Optometry 8628582590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center Associates PAGroup PAC ID 6103851134, 2 clinicians

Practice addresses (Care Compare)

1100 N Jackson St
Tullahoma, TN 37388-2336
Phone (931) 393-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3949TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center Associates PA Optometrist CurrentSince Jun 9, 2025 Accepting new patients
Eye Care Center Associates PA Optometrist CurrentSince Jun 9, 2025 Accepting new patients

Locations

301 Colloredo Blvd
Ste C
Shelbyville, TN 37160
Phone (931) 684-0191

1100 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-2020

2020 Cowan Hwy
Ste 100
Winchester, TN 37398
Phone (931) 967-7939

Interoperability endpoints

  • Direct secure messaging: gowen@ecca.intellechartdirect.net

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": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1790671089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BLUE SPRING RD",
            "city": "DECHERD",
            "state": "TN",
            "postal_code": "373243998",
            "telephone_number": "931-307-3939",
            "fax_number": "931-913-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882336",
            "telephone_number": "931-393-2020",
            "fax_number": "913-913-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Colloredo Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371602839",
            "country_code": "US",
            "telephone_number": "931-684-0191",
            "fax_number": "931-913-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Cowan Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982403",
            "country_code": "US",
            "telephone_number": "931-967-7939",
            "fax_number": "931-913-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.