Provider Demographics
NPI:1912966177
Name:FOX, MARIA A (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:FOX
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:5535 FAIR LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3434
Mailing Address - Country:US
Mailing Address - Phone:513-221-5274
Mailing Address - Fax:513-961-5100
Practice Address - Street 1:6394 THORNBERRY CT
Practice Address - Street 2:SUITE 810
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7810
Practice Address - Country:US
Practice Address - Phone:513-770-4020
Practice Address - Fax:513-770-4021
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2013-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH5034 T1911152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH410040182OtherRAILROAD MEDICARE
OH2118103Medicaid
OH0882555Medicare PIN
OH0882551Medicare PIN
OH2118103Medicaid
OH0882557Medicare PIN
OH0882553Medicare PIN
OH0882556Medicare PIN
OHU75750Medicare UPIN