Provider Demographics
NPI:1659825487
Name:APPLE, MELVIN (OD)
Entity Type:Individual
Prefix:
First Name:MELVIN
Middle Name:
Last Name:APPLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12062 OAKVISTA DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6350
Mailing Address - Country:US
Mailing Address - Phone:561-733-1848
Mailing Address - Fax:
Practice Address - Street 1:12062 OAKVISTA DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6350
Practice Address - Country:US
Practice Address - Phone:561-733-1848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC846152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist