DR. JERRY C. APPOLD (OD) – Optometrist, NPI 1629118351

DR. JERRY C. APPOLD (OD) is a healthcare provider. based in Saginaw, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901003161 (MI). The NPI Number for DR. JERRY C. APPOLD (OD) is 1629118351

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY C. APPOLD (OD)
NPI
1629118351
Phone
(989) 799-1184
Address
4900 FASHION SQUARE BLVD
Enumeration Date
8 February 2007
Last Update Date
22 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
9032210166
Group Practice PAC ID
2466447966
Professional Enrollment ID
I20120402000284
Address ID
MI496842204Tr336XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for DR. JERRY C. APPOLD (OD)

  • 4900 FASHION SQUARE BLVD

    SEARS OPTICAL

    SAGINAW, MI 486042610

    Phone: (989) 799-1184

    Fax: (989) 791-1918

    Type: Location

  • 2165 5TH ST

    BAY CITY, MI 487086343

    Phone: (989) 225-1965

    Fax: (989) 791-1918

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120402000284IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466447966View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Where can patients find DR. JERRY C. APPOLD (OD)'s NPI?
You can confirm DR. JERRY C. APPOLD (OD) with NPI 1629118351; it appears in the national provider directory.
Is DR. JERRY C. APPOLD (OD) currently active in the NPI registry?
CMS-published data lists DR. JERRY C. APPOLD (OD) as an active registrant.
What kind of provider is DR. JERRY C. APPOLD (OD)?
The page reflects Optometrist for DR. JERRY C. APPOLD (OD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JERRY C. APPOLD (OD)?
We surface Saginaw, Michigan for DR. JERRY C. APPOLD (OD) based on available NPPES addresses.
Is DR. JERRY C. APPOLD (OD) a real provider?
This page reflects official NPPES data for NPI 1629118351. Always confirm identity and privileges with the practice and licensing boards.

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