MEDICARE: DR. MAGGIE A HERMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	6343	OH
2	152W00000X	Optometrist	6343	OH

General Provider Information

NPI Number	:	1285037135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGGIE A HERMAN O.D.

Provider Business Mailing Address
First Line	:	400 MILL AVE SE STE 329
Second Line	:
City	:	NEW PHILADELPHIA
State	:	OH
Zip	:	44663-3876
Country	:	US
Telephone Number	:	330-204-6321
Fax Number	:	330-556-0990

Provider Business Practice Location Address
First Line	:	400 MILL AVE SE STE 329
Second Line	:
City	:	NEW PHILADELPHIA
State	:	OH
Zip	:	44663-3876
Country	:	US
Telephone Number	:	330-339-8787
Fax Number	:	330-556-0990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	08/21/2025

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Directions to “ DR. MAGGIE A HERMAN O.D.” Practice Location

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