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Organization

DR. MARIA J. FRAGOULIS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA FRAGOULIS (OPTOMETRIST, OWNER)
(740) 657-1301
Entity
Organization

Contact information

Practice address
8659 COLUMBUS PIKE, LEWIS CENTER, OH 43035-9699
(740) 657-1301
(740) 657-8442
Mailing address
5220 SPRUCE LN, WESTERVILLE, OH 43082-9005
(614) 209-8800
(614) 901-9132

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4104
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2615825
OH
Enumeration date
06/20/2009
Last updated
02/03/2022
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