Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALBERT FONTICOBA, OD
DeactivatedDR. ALBERT FONTICOBA, OD is a Optometrist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1093710402 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · PHILADELPHIA, PA
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1093710402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (0.75616438356164 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 17, 2006
- License
-
OEG000907 (PA)
Practice Information
- Address
-
330 W OREGON AVEPHILADELPHIA, PA, 191484723Browse PA providers · Browse ZIP 19148
- Phone
- 2154635889
- Fax
- 2157556959
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| CHELISE FIRMIN | O.D. | 1245235035 |
| ZEEST PERVAIZ | O.D. | 1699770420 |
| MAUREEN OBERLE | O.D. | 1174520753 |
| DR. WILLIAM B. PUTTERMAN | O.D. | 1861499386 |
| GUY RICHARD BRIGNOLA | OD | 1669474557 |
| DR. ELIZABETH BC HUYNH | OD | 1740272905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.