National Provider Identifier Database

GREGORY J FAGERT, OD – NPI #1366521726
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

GREGORY J FAGERT, OD
14 N MAIN ST
COLUMBIANA, OH44408-1347
Phone: 330-482-4124
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Low Vision Rehabilitation 152WL0500X

* Indicates primary specialty

NPI Profile & details for GREGORY J FAGERT

NPI Number 1366521726
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/04/2006
Last updated 07/22/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 4099/T050
  • OH Medicaid: 976574
Hospital affiliation n/a

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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