Jamestown Eye Care Center LLC
NPI 1245413772ActiveOrganization· Optometrist· Provo, UT
Optometrist in Provo, Utah, registered in NPPES in December 2007. The authorized official on file is Phillip Anthony Plothow, O.D., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245413772 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2007 |
| Last updated in NPPES | Oct 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5201910001 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Optometrist providers in Provo
- 1144372582
- 1235304064
- 1578949699
- 1336336080
- 1831405919
- 1073786505
- 1750487609
- 1932955184
- 1568006500
- 1891882155
- 1851105381
- 1871581652