Provider Demographics
NPI:1326100751
Name:CLARK APPLER LOEBER INC
Entity Type:Organization
Organization Name:CLARK APPLER LOEBER INC
Other - Org Name:CLARK APPLER OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VERNON
Authorized Official - Last Name:APPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-825-4454
Mailing Address - Street 1:7301 YORK RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7617
Mailing Address - Country:US
Mailing Address - Phone:410-825-4454
Mailing Address - Fax:410-825-4514
Practice Address - Street 1:7301 YORK RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7617
Practice Address - Country:US
Practice Address - Phone:410-825-4454
Practice Address - Fax:410-825-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0279540001Medicare NSC