Phillip Anthony Plothow, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1139719934 Issued in UT

Practice address

3651 N 100 E
Ste 250
Provo, UT 84604-4597

Phone

(801) 373-3337

Fax

(801) 373-3339

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• UT PPO D-SNP
• UT PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jamestown Eye Care Center LLC

  • Optometrist
  • Provo, UT
  • NPI 1245413772
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1235110149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 N 100 E",
            "address_2": "STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044597",
            "telephone_number": "801-373-3337",
            "fax_number": "801-373-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 N 100 E",
            "address_2": "STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044597",
            "telephone_number": "801-373-3337",
            "fax_number": "801-373-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTHOW",
        "first_name": "PHILLIP",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1139719934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Platt, NP
• McKay Platt, MD
• Alex Plein, P.T.A., B.S.
• Wendy J Plewe, M.S.W.
• Brittany Plombon
• Aleksi Poirier
• Diane Marie Poklinkowski
• Charlene Anne Pollan, APRN
• Amy Pollard, LCSW
• Grace Pollard

• Optometrist in Provo, UT
• Providers in Provo, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.