Active NPI
Nicholas S. Appleman, O.D.
- Optometrist
- Tyndall Afb, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3601 | MN | MD | Registered Dietitian |
| OEG002375 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sees the Day LTD | Optometrist | Current | Accepting new patients |
| Sees the Day LTD | Optometrist | Current | 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.
-
- Technician/Technologist
- Hudson, WI
- NPI 1437208386
-
- Durable Medical Equipment & Medical Supplies
- Springfield, VA
- NPI 1710138391
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.