Provider Demographics
NPI:1487744652
Name:DAVID APPLEGETT OD INC
Entity type:Organization
Organization Name:DAVID APPLEGETT OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:APPLEGETT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-687-8791
Mailing Address - Street 1:1701 RIVER VALLEY CIR S
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1466
Mailing Address - Country:US
Mailing Address - Phone:740-687-8791
Mailing Address - Fax:
Practice Address - Street 1:1701 RIVER VALLEY CIR S
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1466
Practice Address - Country:US
Practice Address - Phone:740-687-8791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4341152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0745381Medicare ID - Type Unspecified