Firelands Eyecare Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3512T554 Issued in OH

Legal business name

FIRELANDS EYECARE CENTER, INC.

Practice address

112 Benedict Ave
Norwalk, OH 44857-2132

Phone

(419) 668-6067

Fax

(419) 663-6058

NPI assigned

Jun 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peggy Harpster Maul, O.D.

Title

Pres

Phone

(419) 668-6067

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Firelands Optical Center, Inc Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1174568067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572132",
            "telephone_number": "419-668-6067",
            "fax_number": "419-663-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572132",
            "telephone_number": "419-668-6067",
            "fax_number": "419-663-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELANDS EYECARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MAUL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "HARPSTER",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "419-668-6067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3512T554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479012",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728043",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firelands Optical Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Felver
• William L Ferber, MD
• Ada Lynn Ferguson, LPN
• Rachel Figgins, RN
• Kyleen Finlay, LPN
• Firelands Radiology, Inc
• Firelands Regional Medical Center (Firelands Counseling & Recovery Services)
• Fisher Titus Medical Center
• Fisher Titus Medical Center (The Carriage House)
• Fisher Titus Medical Center

• Optometrist in Norwalk, OH
• Providers in Norwalk, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.