Individual
JACOB FONDRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 NEIL AVE STE 420, COLUMBUS, OH 43215-7312
(614) 224-4297
(614) 224-5668
Mailing address
262 NEIL AVE STE 430, COLUMBUS, OH 43215-7312
(614) 221-7464
(614) 999-9235
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.152428
OH
207W00000X
Ophthalmology Physician
ME167350
FL
207WX0120X
Cornea and External Diseases Specialist Physician
35.152428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405987
—
OH
Enumeration date
04/09/2020
Last updated
05/18/2026
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