Individual
DR. JENNIFER MARY FAGEDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
35 E 7TH ST, STE 400, CINCINNATI, OH 45202-2476
(513) 621-0979
(513) 421-5345
Mailing address
35 E 7TH ST, STE 400, CINCINNATI, OH 45202-2476
(513) 621-0979
(513) 421-5345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4098-T1093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0957666
—
OH
Enumeration date
09/09/2005
Last updated
02/27/2019
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