Individual provider Active NPI

David L Applegett, O.D.

  • Optometrist
  • Heath, OH
National Provider Identifier
1447340609
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4341 Issued in OH
Practice address
Sears Optical
771 S 30TH St
Heath, OH 43056-4200
Phone
(740) 522-8846
Fax
(740) 522-8847
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4341 OH Primary

Addresses

Primary practice location

Sears Optical
771 S 30TH St
Heath, OH 43056-4200

Mailing address

Sears Optical
771 S 30TH St
Heath, OH 43056-4200
Phone (740) 522-8846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120118000765 OH Practitioner - Optometry 5597932350 Practice locations: Heath, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1447340609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEARS OPTICAL",
            "address_2": "771 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430564200",
            "telephone_number": "740-522-8846",
            "fax_number": "740-522-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEARS OPTICAL",
            "address_2": "771 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430564200",
            "telephone_number": "740-522-8846",
            "fax_number": "740-522-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGETT",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

Verify at the official NPI Registry.