Dr Dina Mubarak, OD | |
1379 Weybridge Rd, Columbus, OH 43220-8108 | |
(614) 717-8283 | |
Not Available |
Full Name | Dr Dina Mubarak |
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Gender | Female |
Speciality | Optometrist |
Location | 1379 Weybridge Rd, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801461249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT.006959 (Ohio) | Primary |
Provider Name | Dr. Maria J. Fragoulis, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679700389 PECOS PAC ID: 0840346201 Enrollment ID: O20090925000608 |
Mailing Address | Practice Location Address |
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Dr Dina Mubarak, OD 1379 Weybridge Rd, Columbus, OH 43220-8108 Ph: () - | Dr Dina Mubarak, OD 1379 Weybridge Rd, Columbus, OH 43220-8108 Ph: (614) 717-8283 |
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