Individual
ISIDOROS FRAGOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 E SCHROCK RD, WESTERVILLE, OH 43081-2915
(614) 805-5458
Mailing address
1551 KING AVE APT B, COLUMBUS, OH 43212-2149
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006951
OH
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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