Healthcare Provider Details

I. General information

NPI: 1285037135
Provider Name (Legal Business Name): MAGGIE A HERMAN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MILL AVE SE STE 329
NEW PHILADELPHIA OH
44663-3876
US

IV. Provider business mailing address

400 MILL AVE SE STE 329
NEW PHILADELPHIA OH
44663-3876
US

V. Phone/Fax

Practice location:
  • Phone: 330-339-8787
  • Fax: 330-556-0990
Mailing address:
  • Phone: 330-204-6321
  • Fax: 330-556-0990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number6343
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6343
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: