Active NPI
Tom Kevin Flowers, O.D.
- Corneal and Contact Management Optometrist
- Jackson, TN
National Provider Identifier
1831124353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OD-T1462
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410034659 | Other | TN | RAILROAD MEDICARE |
| 3598797 | Medicaid | TN | |
| 3077252 | Other | TN | BCBS TN PROVIDER NUMBER |
| 02628 | Other | TN | SPECTERA PROVIDER NUMBER |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.