Dr. Maria J. Fragoulis, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4104 Issued in OH

Legal business name

DR. MARIA J. FRAGOULIS, INC

Practice address

8659 Columbus Pike
Lewis Center, OH 43035-9699

Phone

(740) 657-1301

Fax

(740) 657-8442

NPI assigned

Jun 20, 2009

Organization subpart

No

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

Authorized official

Name

Maria FragoulisNPI 1295820520

Title

Optometrist, Owner

Phone

(740) 657-1301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Jeanette Fragoulis, O.D.

  • Optometrist
  • Lewis Center, OH
  • NPI 1295820520
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Rebecca Ferrer, O.D.

  • Optometrist
  • Lewis Center, OH
  • NPI 1831399153
  Medicare reassignment Care Compare group NPD
• Diana L Milheim, O.D.

  • Optometrist
  • Westerville, OH
  • NPI 1679747794
  Medicare reassignment Care Compare group NPD
• Dina Mubarak, OD

  • Optometrist
  • Columbus, OH
  • NPI 1801461249
  Medicare reassignment NPD
• Tabinda Jabeen Shah, OD

  • Optometrist
  • Marion, OH
  • NPI 1396024238
  NPD (past)
• Charles Mikel Craig, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1275848962
  NPD (past)

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1679700389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SPRUCE LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829005",
            "telephone_number": "614-209-8800",
            "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": {
        "organization_name": "DR. MARIA J. FRAGOULIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-20",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "FRAGOULIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "740-657-1301"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2615825",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Doneyhue, LPN
• Shannon Danielle Donley, LSW
• Kailey Dotson, DPT
• Anesa Doyle, BCBA
• Dr Daniel S Williams DMD Inc
• Drayer Physical Therapy Northern Ohio LLC
• Sarah P Dufour, SLP
• Dugas Dental, Inc
• Justin Dugas, D.D.S.
• Justin Lewis Dumm, PTA

• 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 Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.