Carrasco, Melissa Plowmaker

Carrasco, Melissa Plowmaker is an individual health care provider with primary practice located at 890 E Main St , Ephrata PA 17522-2562. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carrasco, Melissa Plowmaker can be contacted via phone (717) 721-6686.

Contact Information

Primary practice address
890 E Main St Ephrata PA 17522-2562
Fax: (717) 738-7735
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000544 Pennsylvania

Profile Details

NPI number 1487748992
LBN Legal business name Carrasco, Melissa Plowmaker
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487748992 NPPES
Pennsylvania MEDICAID 0017436550001

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