Individual provider Active NPI

Nicholas S. Appleman, O.D.

  • Optometrist
  • Tyndall Afb, FL
National Provider Identifier
1487962338
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002375 Issued in PA
Practice address
340 Magnolia Cir
325 Medical Group/Sgpe
Tyndall Afb, FL 32403-5604
Phone
(850) 283-7005
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001990 VA
Optometrist 152W00000X OEG002375 PA Primary

Addresses

Primary practice location

340 Magnolia Cir
325 Medical Group/Sgpe
Tyndall Afb, FL 32403-5604

Mailing address

340 Magnolia Circle
325 Medical Group/Sgpe
Tyndall Afb, FL 32403
Phone (850) 283-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190724000481 MN Practitioner - Optometry 3274721170 Reassigns benefits to 1 organization
I20260401001292 WI Practitioner - Optometry 3274721170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sees the Day LTDGroup PAC ID 7517921372, 8 clinicians

Practice addresses (Care Compare)

113 Carmichael Rd
Hudson, WI 54016-7716
Phone (715) 377-7970

7150 Valley Creek PLZ
Suite 216
Woodbury, MN 55125-2271
Phone (651) 738-4886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3601MNMDRegistered Dietitian
OEG002375PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sees the Day LTD Optometrist CurrentSince Sep 25, 2025 Accepting new patients
Sees the Day LTD Optometrist CurrentSince Sep 25, 2025 Accepting new patients
Michael J. Davidson, O.D., P.C. Optometrist Past Accepting new patients

Locations

1757 N Frontage Rd
Hastings, MN 55033
Phone (651) 480-8515

7150 Valley Creek Plz
Ste 216
Woodbury, MN 55125
Phone (651) 738-4886

113 Carmichael Rd
Hudson, WI 54016
Phone (715) 377-7970

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1487962338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIRCLE",
            "address_2": "325 MEDICAL GROUP/SGPE",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "32403",
            "telephone_number": "850-283-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "address_2": "325 MEDICAL GROUP/SGPE",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEMAN",
        "first_name": "NICHOLAS",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001990",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall Afb, FL

Sources for this page

Verify at the official NPI Registry.