Healthcare Provider Details

I. General information

NPI: 1649504481
Provider Name (Legal Business Name): FAGEDES AND GARRITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 VINE ST STE 301
CINCINNATI OH
45202-2425
US

IV. Provider business mailing address

35 E 7TH ST STE 400
CINCINNATI OH
45202-2488
US

V. Phone/Fax

Practice location:
  • Phone: 513-621-0979
  • Fax: 513-421-5345
Mailing address:
  • Phone: 513-621-0979
  • Fax: 513-421-5345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN J, GARRITY III
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 513-621-0979