Organization
FIRELANDS EYECARE CENTER, INC.
Active
Other names
Firelands Optical Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY HARPSTER MAUL O.D. (PRES)
(419) 668-6067
Entity
Organization
Contact information
Practice address
112 BENEDICT AVE, NORWALK, OH 44857-2132
(419) 668-6067
(419) 663-6058
Mailing address
112 BENEDICT AVE, NORWALK, OH 44857-2132
(419) 668-6067
(419) 663-6058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3512T554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479012
—
OH
05
—
0489510
—
OH
05
—
2728043
—
OH
Enumeration date
06/17/2006
Last updated
05/08/2008
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