Active NPI
Peggy Harpster Maul, O.D.
- Optometrist
- Norwalk, OH
National Provider Identifier
1467494989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.003512
- Practice address
- 112 Benedict Ave
Norwalk, OH 44857-2132 - Phone
- (419) 668-6067
- Fax
- (419) 663-6058
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3512 T554 | OH | |
| Optometrist | 152W00000X | OPT.003512 | OH | Primary |
Addresses
Primary practice location
112 Benedict Ave
Norwalk, OH 44857-2132
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0479012 | Medicaid | OH | |
| 142575 | Other | OH | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3512 T554 | OH | MD | Optometrist |
| OPT.003512 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
Locations
112 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-6067
8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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.
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- NPI 1720970981
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- Dayton, OH
- NPI 1902365448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1467494989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"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": {
"last_name": "MAUL",
"first_name": "PEGGY",
"middle_name": "HARPSTER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3512 T554",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.003512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0479012",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "142575",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.