Provider Demographics
NPI:1518397629
Name:FLOWERS, MARION (OD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4064 S PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6335
Mailing Address - Country:US
Mailing Address - Phone:901-345-8464
Mailing Address - Fax:
Practice Address - Street 1:4064 S PLAZA DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6335
Practice Address - Country:US
Practice Address - Phone:901-345-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3148152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist