Provider Demographics
NPI:1801933452
Name:APPEL & APPEL VISION L L C
Entity type:Organization
Organization Name:APPEL & APPEL VISION L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:S
Authorized Official - Last Name:APPEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:843-761-8751
Mailing Address - Street 1:116 N HIGHWAY 52
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3925
Mailing Address - Country:US
Mailing Address - Phone:843-761-8751
Mailing Address - Fax:843-761-1639
Practice Address - Street 1:116 N HIGHWAY 52
Practice Address - Street 2:SUITE A
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3925
Practice Address - Country:US
Practice Address - Phone:843-761-8751
Practice Address - Fax:843-761-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC585152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDA9917Medicaid
SC=========OtherBCBS
SCT24636Medicare UPIN
SCT246360281Medicare PIN
SC=========OtherBCBS