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NICOLE FANTONI O.D.
NPI 1316030125
Optometrist in Wakefield, RI

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
20 HAMPTON WAY, BLDG#1A, WAKEFIELD, RI 02879(401) 783-7009(401) 789-3909 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Jan 17, 2020 (2 updates tracked since 2020).

About Nicole Fantoni O.d. NPPES

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

NICOLE FANTONI O.D. (NPI 1316030125) is an individual optometrist in Wakefield, Rhode Island, licensed in Rhode Island (ODTG00535) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1999).

NPPES Registry Identity

NPI1316030125
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE FANTONICredential: O.D.
Location Address20 HAMPTON WAY, BLDG#1AWakefield, RI 02879-2553
Mailing Address20 Hampton Way Ste 1aWakefield, RI 02879-2554 · (401) 783-7009 · Fax (401) 789-3909
Phone(401) 783-7009
Fax(401) 789-3909
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1999
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1316030125 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 RI · ODTG00535
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.
20 HAMPTON WAY, Wakefield, RI 02879
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Other Identifiers 1

Medicaid1316030125RI

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

Nicole Fantoni O.d. 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 ID7719153592
PECOS Enrollment IDI20111228000374
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 6

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
435 services435 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
87 services85 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
81 services71 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
50 services50 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
40 services40 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

KOCH EYE ASSOCIATES LLP
Eyewear Supplier
20 HAMPTON WAY, BLDG 1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
KOCH EYE ASSOCIATES, LLP
Ophthalmology
20 HAMPTON WAY, BUILDING #1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
BARRY M WEPMAN M.D.
Ophthalmology
20 HAMPTON WAY, BLDG #1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
MARK DERESIENSKI O.D.
Optometrist
20 HAMPTON WAY, BLDG#1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009
DR. KRISTEN LEE BURNS
Optometrist
20 HAMPTON WAY, BLDG# 1A
WAKEFIELD, RI 02879
Washington County (401) 783-7009

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 Nicole Fantoni's NPI number?

The NPI number for Nicole Fantoni is 1316030125. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Nicole Fantoni located?

Nicole Fantoni practices at 20 Hampton Way Bldg#1a, Wakefield, RI 02879. The listed phone number is (401) 783-7009.

What is Nicole Fantoni's specialty?

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

Is Nicole Fantoni enrolled in Medicare?

Yes. Nicole Fantoni 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 Nicole Fantoni 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 1 other insurer list Nicole Fantoni 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 Nicole Fantoni was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.