Maria Jeanette Fragoulis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4104 Issued in OH

Practice address

8659 Columbus Pike
Lewis Center, OH 43035-9699

Phone

(740) 657-1301

Fax

(740) 657-8442

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Maria J. Fragoulis, IncGroup PAC ID 0840346201, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Maria J. Fragoulis, Inc

  • Optometrist
  • Lewis Center, OH
  • NPI 1679700389
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1295820520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S SPRING RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812444",
            "telephone_number": "614-209-8880",
            "fax_number": "614-901-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8659 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359699",
            "telephone_number": "740-657-1301",
            "fax_number": "740-657-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOULIS",
        "first_name": "MARIA",
        "middle_name": "JEANETTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fixari Dental of Lewis Center LLC
• Nora Jane Flanagan, CT
• Langley Flowers, DC
• Lillian Fouch
• Lynn A Fox, O.D.
• Deborah Ann Francis, MS, RN, ACNS-BC
• Philip Louis Frank, M.S., A.T.C., C.E.S.
• Justin Frasher
• Jocelyn R Freyman, MOT
• Jay Asbury Fry, LISW

• Optometrist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.