Angela Marie Appleman, O.D.
Individual provider Active NPI Optometrist · Rolla, MO
NPI 1447414040 · NPPES record last updated Jun 16, 2016
Key facts
- NPI
- 1447414040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2015012017 (MO)
- Practice address
- 1605 Martin Springs Dr
Ste 240 a
Rolla, MO 65401-2982 - Phone
- (573) 458-6310
- NPI assigned
- Jul 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Medical Group, LLC | Past | Accepting new patients | |
| Low Country Eye Associates, PC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2015012017 | MO | Yes |
| Optometrist | 152W00000X | OPT002473 | GA |
Addresses
Primary practice location
1605 Martin Springs Dr
Ste 240 a
Rolla, MO 65401-2982
Mailing address
PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 829-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO |
Other names
- Angela Marie Vandyke
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.