Provider Demographics
NPI:1649504481
Name:FAGEDES AND GARRITY, LLC
Entity type:Organization
Organization Name:FAGEDES AND GARRITY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J,
Authorized Official - Last Name:GARRITY
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:513-621-0979
Mailing Address - Street 1:35 E 7TH ST
Mailing Address - Street 2:STE 400
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2488
Mailing Address - Country:US
Mailing Address - Phone:513-621-0979
Mailing Address - Fax:513-421-5345
Practice Address - Street 1:632 VINE ST
Practice Address - Street 2:STE 301
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-2425
Practice Address - Country:US
Practice Address - Phone:513-621-0979
Practice Address - Fax:513-421-5345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9385541Medicare PIN