Individual provider Active NPI

Tom Kevin Flowers, O.D.

  • Corneal and Contact Management Optometrist
  • Jackson, TN
National Provider Identifier
1831124353
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OD-T1462 Issued in TN
Practice address
189 W University Pkwy Ste D
Jackson, TN 38305-1671
Phone
(731) 664-9600
Fax
(731) 664-0808
NPI assigned
Jul 12, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OD-T1462 TN Primary

Addresses

Primary practice location

189 W University Pkwy Ste D
Jackson, TN 38305-1671

Mailing address

189 W University Pkwy Ste D
Jackson, TN 38305-1671
Phone (731) 664-9600

Other identifiers 4

IdentifierTypeStateIssuer
410034659OtherTNRAILROAD MEDICARE
3598797MedicaidTN
3077252OtherTNBCBS TN PROVIDER NUMBER
02628OtherTNSPECTERA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100909000700 TN Practitioner - Optometry 3678698958 Practice locations: Jackson, TN
O20100930043161 TN DME Supplier - Physician - Optometrist 0042331753 Practice locations: Jackson, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

189 W University Pkwy D
Jackson, TN 38305-1671
Phone (731) 664-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1831124353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 W UNIVERSITY PKWY STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051671",
            "telephone_number": "731-664-9600",
            "fax_number": "731-664-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 W UNIVERSITY PKWY STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051671",
            "telephone_number": "731-664-9600",
            "fax_number": "731-664-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "TOM",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "OD-T1462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410034659",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598797",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN PROVIDER NUMBER",
            "identifier": "3077252",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER NUMBER",
            "identifier": "02628",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.