PHILLIP PATRICK FOWLER O.D.
NPI 1366456972
Optometrist in Jonesboro, AR

Q: What is Phillip Fowler's NPI number?

The NPI number for Phillip Fowler is 1366456972. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Phillip Fowler's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Fowler was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment

2100 E HIGHLAND DR STE 100, JONESBORO, AR 72401(870) 972-6040 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Phillip Patrick Fowler O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP PATRICK FOWLER O.D. (NPI 1366456972) is an individual optometrist in Jonesboro, Arkansas, licensed in Arkansas (2539) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2003).

NPPES Registry Identity

NPI1366456972

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NamePHILLIP PATRICK FOWLERCredential: O.D.

Location Address2100 E HIGHLAND DR STE 100Jonesboro, AR 72401-5144

Mailing Address5501 S Olive StPine Bluff, AR 71603-7607 · (870) 761-4761 · Fax (870) 761-4761

Phone(870) 972-6040

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 2003

Enumeration DateJuly 28, 2006

Last NPPES UpdateJuly 5, 2023

NPPES CertifiedJuly 5, 2023

✔ NPI 1366456972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AR · 2539

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2100 E HIGHLAND DR STE 100, Jonesboro, AR 72401

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Other Identifiers 3

Medicaid152051722AR

OtherP00073866AR · Railroad Medicare

Other318407004MO · Missouri Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Patrick Fowler O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224013719

PECOS Enrollment IDI20040621000019

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Fowler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elite Eye Care & Optical LLC

Same address

Optometrist

2100 E HIGHLAND DR STE 100
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
7 clinicians in this Medicare group

NPI 1386795094 (870) 972-6040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

69 services69 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services32 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

28 services18 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

17 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHANIEL BAGGETT OD

Optometrist