Edward Charles Appelman, O.D.

Individual provider Active NPI Optometrist · Saint Peters, MO

NPI 1619050002 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619050002
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
TO2628 (MO)
Practice address
100 Piper Hill Dr
Suite D
Saint Peters, MO 63376-1616
Phone
(636) 928-3937
Fax
(636) 928-0661
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appelman Eye Associates, LLC (2 clinicians)

Practice addresses (Care Compare)

100 Piper Hill Dr
D
Saint Peters, MO 63376-1616
Phone (636) 928-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070906000103 MO Practitioner - Optometry 6608969704 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
TO2628MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Appelman Eye Associates, LLC Optometrist Current
since Sep 1, 2007
Accepting new patients

Locations

100 Piper Hill Dr
Ste D
Saint Peters, MO 63376
Phone (636) 928-3937

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2628 MO Yes

Addresses

Primary practice location

100 Piper Hill Dr
Suite D
Saint Peters, MO 63376-1616

Mailing address

100 Piper Hill Dr
Suite D
Saint Peters, MO 63376-1616
Phone (636) 928-3937

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · Optometrist in Missouri

Sources for this page

Verify at the official NPI Registry.