Individual provider Active NPI

John Patrick Plow, OD

  • Optometrist
  • Horseheads, NY
National Provider Identifier
1881678795
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT 005786 Issued in NY
Practice address
298 Colonial Dr
Horseheads, NY 14845-8400
Phone
(607) 796-6284
Fax
(607) 796-6617
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT 005786 NY Primary

Addresses

Primary practice location

298 Colonial Dr
Horseheads, NY 14845-8400

Mailing address

25 Quail Run
Elmira, NY 14903
Phone (607) 426-5475

Other identifiers 1

IdentifierTypeStateIssuer
01734376MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050211000085 NY Practitioner - Optometry 0547212128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plow Optometry PCGroup PAC ID 7517044886, 4 clinicians

Practice addresses (Care Compare)

298 Colonial Dr
Horseheads, NY 14845-8400
Phone (607) 796-6284

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005786NYMDMental Health Counselor
VUT 005786NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plow Optometry PC Optometrist CurrentSince Sep 1, 2007 Accepting new patients

Locations

298 Colonial Dr
Horseheads, NY 14845
Phone (607) 796-6284

3345 Chambers Rd
Ste 14
Horseheads, NY 14845
Phone (607) 769-6872

143 Village Sq
#101
Painted Post, NY 14870
Phone (607) 796-6284

140 Village Sq
Painted Post, NY 14870
Phone (607) 796-6284

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1881678795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 QUAIL RUN",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14903",
            "telephone_number": "607-426-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 COLONIAL DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458400",
            "telephone_number": "607-796-6284",
            "fax_number": "607-796-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOW",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT 005786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01734376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

Verify at the official NPI Registry.