Healthcare Provider Details

I. General information

NPI: 1750106167
Provider Name (Legal Business Name): FLOWER EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12340 BANDERA RD STE 106
HELOTES TX
78023-4575
US

IV. Provider business mailing address

12340 BANDERA RD STE 106
HELOTES TX
78023-4575
US

V. Phone/Fax

Practice location:
  • Phone: 210-682-9303
  • Fax: 210-682-9313
Mailing address:
  • Phone: 210-682-9303
  • Fax: 210-682-9313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREMIAH FLOWER
Title or Position: OPTOMETRIST
Credential: OD
Phone: 314-766-9997