Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Philip M Brock, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043078611

Dr. Philip M Brock, OD is an Optometry in Crossville, Tennessee. Graduated from Southern College of Optometry in 2024, 2 years ago. Practices with Eye Centers of Tennessee, LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
Southern College of Optometry
Licensed in
TN
In the registry since
2024
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

15 Iris Ln
Crossville, TN 38555-7528
Phone: (931) 456-2728
Fax: (931) 456-5446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3881 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043078611
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 8, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address15 Iris Ln, Crossville, TN 38555-7528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Eye Centers Of Tennessee, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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