Albert Fonticoba, OD

InactiveIndividual ProviderOptometry
NPI issued: June 14, 2005

Quick Facts

NPI Number
1093710402
TypeIndividual
StatusInactive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(215) 463-5889
StatePA

NPI Validation Status: Deactivated

Valid 10-digit NPI number (1093710402)
Active status: Deactivated / Inactive
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 14, 2005)
Data source: CMS NPPES

Provider Overview

ALBERT FONTICOBA, OD is a Optometry provider based in Philadelphia, PA who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1093710402
Provider TypeIndividual Provider
GenderMale
CredentialOD
StatusInactive
Enumeration DateJune 14, 2005

Practice Location

CityPhiladelphia
StatePA
ZIP Code19148-4723
Phone(215) 463-5889

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StatePA

Mailing Address

CityPhiladelphia
StatePA
ZIP Code19148-4723
Phone(215) 463-5889
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1093710402 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093710402for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093710402 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Albert Fonticoba's NPI number?
Albert Fonticoba's NPI number is 1093710402, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Albert Fonticoba's NPI currently active?
No, Albert Fonticoba's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Albert Fonticoba specialize in?
Albert Fonticoba specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Albert Fonticoba practice?
Albert Fonticoba practices in Philadelphia, PA 19148-4723.
When was Albert Fonticoba's NPI issued?
Albert Fonticoba's NPI was issued on June 14, 2005.
What is Albert Fonticoba's provider type?
Albert Fonticoba is registered as an Individual Provider under CMS NPI Type 1.