PHILLIP PATRICK FOWLER (O.D.) – Optometrist, NPI 1366456972
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
422 OPTOMETRY in AR
Provider Addresses for PHILLIP PATRICK FOWLER (O.D.)
2100 E HIGHLAND DR STE 100
JONESBORO, AR 724015144
Phone: (870) 972-6040
Type: Location
Walmart Supercenter, 5501, South Olive Street, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716037607
Phone: (870) 761-4761
Fax: (870) 761-4761
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $420.
Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($210).
Total Amount
$420
General + Research + Ownership
Payments
11
Total payment records
General Amount
$420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $210 |
| Alcon Vision LLC | $99 |
| Bausch & Lomb Americas Inc. | $59 |
| Oyster Point Pharma, Inc. | $51 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040621000019 | I | Optometry | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 70 | 69 | $0 |
| 92014 | Established patient complete exam of visual system | 36 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 23 | $0 |
| 92002 | New patient problem focused exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 72401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR |
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