Fagedes, Jennifer Mary

Fagedes, Jennifer Mary is an individual health care provider with primary practice located at 35 E 7Th St Ste 400, Cincinnati OH 45202-2476. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fagedes, Jennifer Mary can be contacted via phone (513) 621-0979.

Contact Information

Primary practice address
35 E 7Th St Ste 400 Cincinnati OH 45202-2476
Phone: (513) 621-0979
Fax: (513) 421-5345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4098-T1093 Ohio

Profile Details

NPI number 1689668162
LBN Legal business name Fagedes, Jennifer Mary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689668162 NPPES
Ohio MEDICAID 0957666

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