Provider Demographics
NPI:1396938940
Name:PLOW OPTOMETRY PC
Entity type:Organization
Organization Name:PLOW OPTOMETRY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:PLOW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:607-796-6284
Mailing Address - Street 1:298 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-8400
Mailing Address - Country:US
Mailing Address - Phone:607-796-6284
Mailing Address - Fax:607-796-6617
Practice Address - Street 1:298 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-8400
Practice Address - Country:US
Practice Address - Phone:607-796-6284
Practice Address - Fax:607-796-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005786152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA1389Medicare PIN
NY6174620001Medicare NSC