Individual
MARIA JEANETTE FRAGOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8659 COLUMBUS PIKE, LEWIS CENTER, OH 43035-9699
(740) 657-1301
(740) 657-8442
Mailing address
3 S SPRING RD, WESTERVILLE, OH 43081-2444
(614) 209-8880
(614) 901-9132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4104
OH
Other
Enumeration date
10/03/2006
Last updated
06/03/2011
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