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DR. ALBERT FONTICOBA OD
NPI 1093710402
Optometrist in Philadelphia, PA

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
330 W OREGON AVE, PHILADELPHIA, PA 19148(215) 463-5889(215) 755-6959 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Albert Fonticoba Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALBERT FONTICOBA OD (NPI 1093710402) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG000907) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1989).

NPPES Registry Identity

NPI1093710402
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALBERT FONTICOBACredential: OD
Location Address330 W OREGON AVEPhiladelphia, PA 19148-4723
Mailing Address330 W Oregon AvePhiladelphia, PA 19148-4723 · (215) 463-5889 · Fax (215) 755-6959
Phone(215) 463-5889
Fax(215) 755-6959
Medical School CMSPennsylvania College Of OptometryGraduated 1989
Enumeration DateJune 14, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093710402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG000907
Definition
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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
330 W OREGON AVE, Philadelphia, PA 19148
Open in Google Maps ↗

Other Identifiers 3

Medicaid1306195PA
Medicare ID-Type Unspecified0808010001PA
Medicare UPINT92050PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Albert Fonticoba Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709001191
PECOS Enrollment IDI20140626002175
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMG OPTICAL
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (717) 254-5507
MARNI ELYSE FARAHI DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (727) 608-8798
EYES AND SPECS LLC
Clinic/Center (Ophthalmologic Surgery)
330 W OREGON AVE
PHILA, PA 19148
Philadelphia County (215) 463-5889
PATHMARK STORES INC
Pharmacy
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (215) 462-3450
DR. MATTHEW JOHN VEENSTRA DDS
Dentist (Pediatric Dentistry)
330 W OREGON AVE
PHILADELPHIA, PA 19148
Philadelphia County (703) 439-7157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albert Fonticoba's NPI number?

The NPI number for Albert Fonticoba is 1093710402. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Albert Fonticoba located?

Albert Fonticoba practices at 330 W Oregon Ave, Philadelphia, PA 19148. The listed phone number is (215) 463-5889.

What is Albert Fonticoba's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Albert Fonticoba enrolled in Medicare?

Yes. Albert Fonticoba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Albert Fonticoba accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Albert Fonticoba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Albert Fonticoba was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.