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Contact Information

JACOB FONDRIEST, MD
262 NEIL AVE STE 420
COLUMBUS, OH43215-7312
 Phone: 614-224-4297
 Fax: 614-224-5668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JACOB FONDRIEST · (Male)

NPI # 1093334021
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2020
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.152428
  • OH Medicaid 405987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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