Individual provider Active NPI

Jacob Fondriest, MD

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1093334021
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.152428 Issued in OH
Practice address
262 Neil Ave Ste 420
Columbus, OH 43215-7312
Phone
(614) 224-4297
Fax
(614) 224-5668
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 35.152428 OH
Ophthalmology Physician 207W00000X 35.152428 OH Primary

Addresses

Primary practice location

262 Neil Ave Ste 420
Columbus, OH 43215-7312

Mailing address

262 Neil Ave Ste 430
Columbus, OH 43215-7312
Phone (614) 221-7464

Other identifiers 1

IdentifierTypeStateIssuer
405987MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240715000691 FL Practitioner - Ophthalmology 8022431006 Reassigns benefits to 1 organization
I20250304000352 OH Practitioner - Ophthalmology 8022431006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians, LLCGroup PAC ID 6800207192, 36 clinicians

Practice addresses (Care Compare)

262 Neil Ave
Suite 430
Columbus, OH 43215-7312
Phone (614) 221-7464

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Eye Physicians, LLC CurrentSince Feb 18, 2025 Accepting new patients
University of Miami CurrentSince Jul 1, 2024 Accepting new patients
Eye Physicians, LLC Ophthalmology CurrentSince Feb 18, 2025 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

7101 Fairway Dr
West Palm Beach, FL 33418
Phone (561) 515-1500

262 Neil Ave
Ste 430
Columbus, OH 43215

262 Neil Ave
Ste 420
Columbus, OH 43215
Phone (614) 224-4297

855 W Market St
Lima, OH 45805
Phone (419) 228-7432

Interoperability endpoints

  • Direct secure messaging: jfondriest136799@direct.med.miami.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1093334021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE STE 430",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157312",
            "telephone_number": "614-221-7464",
            "fax_number": "614-999-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEIL AVE STE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157312",
            "telephone_number": "614-224-4297",
            "fax_number": "614-224-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDRIEST",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "OH",
            "license": "35.152428",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.152428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.