MEDICARE: DR. DAVID L APPLEGETT O.D.

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	4341	OH

General Provider Information

NPI Number	:	1447340609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L APPLEGETT O.D.

Provider Business Mailing Address
First Line	:	SEARS OPTICAL
Second Line	:	771 S 30TH ST
City	:	HEATH
State	:	OH
Zip	:	43056-4200
Country	:	US
Telephone Number	:	740-522-8846
Fax Number	:	740-522-8847

Provider Business Practice Location Address
First Line	:	SEARS OPTICAL
Second Line	:	771 S 30TH ST
City	:	HEATH
State	:	OH
Zip	:	43056-4200
Country	:	US
Telephone Number	:	740-522-8846
Fax Number	:	740-522-8847

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	05/03/2017

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Directions to “ DR. DAVID L APPLEGETT O.D.” Practice Location

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