Individual provider Active NPI

Martin S Appel, O.D.

  • Optometrist
  • Moncks Corner, SC
National Provider Identifier
1780770941
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
585 Issued in SC
Practice address
116 N Highway 52
Suite a
Moncks Corner, SC 29461-3925
Phone
(843) 761-8751
Fax
(843) 761-1639
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

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 participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
585SCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eyecare Physicians, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 585 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

116 N Highway 52
Suite a
Moncks Corner, SC 29461-3925

Mailing address

116 N Highway 52
Suite a
Moncks Corner, SC 29461-3925
Phone (843) 761-8751

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
DA9917MedicaidSC
DO5858MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2009.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1780770941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N HIGHWAY 52",
            "address_2": "SUITE A",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613925",
            "telephone_number": "843-761-8751",
            "fax_number": "843-761-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N HIGHWAY 52",
            "address_2": "SUITE A",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613925",
            "telephone_number": "843-761-8751",
            "fax_number": "843-761-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPEL",
        "first_name": "MARTIN",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9917",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO5858",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.