Individual provider Active NPI

Melissa Plowmaker Carrasco, OD

  • Optometrist
  • Ephrata, PA
National Provider Identifier
1487748992
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000544 Issued in PA
Practice address
890 E Main St
Ephrata, PA 17522-2562
Phone
(717) 721-6686
Fax
(717) 738-7735
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000544 PA Primary

Addresses

Primary practice location

890 E Main St
Ephrata, PA 17522-2562

Mailing address

890 E Main St
Ephrata, PA 17522-2562
Phone (717) 721-6686

Other identifiers 1

IdentifierTypeStateIssuer
0017436550001MedicaidPA

Other names 1

  • Dr. Melissa K Plowmaker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110208000182 PA Practitioner - Optometry 4183804222 Reassigns benefits to 1 organization
Practice locations: Ephrata, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

890 E Main St
Ephrata, PA 17522-2562
Phone (717) 721-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1487748992",
    "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": {
        "last_name": "CARRASCO",
        "first_name": "MELISSA",
        "middle_name": "PLOWMAKER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017436550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PLOWMAKER",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.