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

Samuel Adam Phelps, OD

Individual provider Optometrist · NPI 1164651998

Samuel Adam Phelps, OD is an Optometry in Henderson, Tennessee. Graduated from Southern College of Optometry in 2009, 17 years ago. Practices with Skyline Eye Clinic, PC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
17
Trained at
Southern College of Optometry
Licensed in
TN, VA
In the registry since
2009
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

138 S Washington Ave
Henderson, TN 38340-2323
Phone: (731) 989-3511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 668 Skyline Dr, Jackson, TN 38301-3951 — (731) 424-2414
  • 1340 Union University Dr, Jackson, TN 38305-3780 — (731) 424-2414

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2957 (TN)
Optometrist Taxonomy 152W00000X · Licence 0618001863 (VA)

Record details

NPI number1164651998
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 14, 2009
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Skyline Eye Clinic, Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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