Maria Jeanette Fragoulis, O.D.

NPI #1295820520 in Lewis Center, Ohio

Provider Information

NPI Number: 1295820520
Entity Type: Individual
Name: Maria Jeanette Fragoulis, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 3, 2006
Last Updated: Jun 3, 2011

Practice Location

Address: 8659 COLUMBUS PIKE
City: Lewis Center
State: Ohio
ZIP Code: 43035-9699
Phone: (740) 657-1301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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