Provider Demographics
NPI:1538158852
Name:APPEL, SARAH H (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:H
Last Name:APPEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47620-1815
Mailing Address - Country:US
Mailing Address - Phone:812-838-4388
Mailing Address - Fax:
Practice Address - Street 1:230 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IN
Practice Address - Zip Code:47620-1815
Practice Address - Country:US
Practice Address - Phone:812-838-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002165B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100103360AMedicaid
IN11478261OtherCAQH PROVIDER ID
IN11478261OtherCAQH PROVIDER ID
IN100103360AMedicaid
IN0463820001Medicare NSC