Melissa K Plowmaker,OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000544 Issued in PA

Legal business name

MELISSA K PLOWMAKER,OD PC

Practice address

890 E Main St
Ephrata, PA 17522-2562

Phone

(717) 721-6686

Fax

(717) 738-7735

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Melissa K Plowmaker, OD

Title

President

Phone

(717) 721-6686

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Plowmaker Carrasco, OD

  • Optometrist
  • Ephrata, PA
  • NPI 1487748992
  Medicare reassignment

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1356657829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222562",
            "telephone_number": "717-721-6686",
            "fax_number": "717-738-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222562",
            "telephone_number": "717-721-6686",
            "fax_number": "717-738-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA K PLOWMAKER,OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "PLOWMAKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-721-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017436550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicteam LLC
• Heidi Medina, PA-C
• Palak Pranav Mehta, M.D.
• Jose Luis Mejia Aguirre, M.D.
• Brian R Melamed, PH.D., M.D.
• Elaine Isabel Mellinger, PAC
• Richard W Mellinger, M.D.
• Larry Dean Mellott, CRNA
• Milca Mendez-Ceballos, D.D.S.
• Shahina Rahim Merchant, MHS, PA -C

• Optometrist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.