MEDICARE: DR. DANIEL RANDOLPH APPLETON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2238	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093773293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL RANDOLPH APPLETON

Provider Business Mailing Address
First Line	:	39 GREEN ST
Second Line	:
City	:	NEWBURYPORT
State	:	MA
Zip	:	01950-2652
Country	:	US
Telephone Number	:	978-465-8761
Fax Number	:	978-465-6228

Provider Business Practice Location Address
First Line	:	39 GREEN ST
Second Line	:
City	:	NEWBURYPORT
State	:	MA
Zip	:	01950-2652
Country	:	US
Telephone Number	:	978-465-8761
Fax Number	:	978-465-6228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/10/2008

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