Individual provider Active NPI

John Joseph Garrity III, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1205820768
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4194-T055 Issued in OH
Practice address
632 Vine St
Ste 301
Cincinnati, OH 45202-2425
Phone
(513) 621-0979
Fax
(513) 421-5345
NPI assigned
Sep 9, 2005
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4194-T055 OH Primary

Addresses

Primary practice location

632 Vine St
Ste 301
Cincinnati, OH 45202-2425

Mailing address

632 Vine St
Ste 301
Cincinnati, OH 45202-2425
Phone (513) 621-0979

Other identifiers 1

IdentifierTypeStateIssuer
0957675MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000400 OH Practitioner - Optometry 7214075076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jenna Stoffel and Associates LLCGroup PAC ID 2769963149, 3 clinicians
Fagedes and Garrity, LLCGroup PAC ID 6507904364, 2 clinicians

Practice addresses (Care Compare)

35 E 7TH St
Suite 400
Cincinnati, OH 45202-2476
Phone (513) 621-0979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4184OHMDClinical Psychologist
4194-T055OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fagedes and Garrity, LLC Optometrist CurrentSince Jul 1, 1992 Accepting new patients
Fagedes and Garrity, LLC Optometrist CurrentSince Sep 29, 2009 Accepting new patients
Dr Jenna Stoffel & Associates LLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

35 E 7th St
Ste 400
Cincinnati, OH 45202
Phone (513) 621-0979

632 Vine St
Ste 301
Cincinnati, OH 45202
Phone (513) 621-0979

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1205820768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 VINE ST",
            "address_2": "STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022425",
            "telephone_number": "513-621-0979",
            "fax_number": "513-421-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 VINE ST",
            "address_2": "STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022425",
            "telephone_number": "513-621-0979",
            "fax_number": "513-421-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4194-T055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0957675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.