Active NPIIndividual provider

Nicole Fantoni, OD

Optometrist in Wakefield, Rhode Island

NPI Number1316030125
Practice location
20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553
Fax
401-789-3909
Last updated
September 21, 2022

Nicole Fantoni is an Optometrist based in Wakefield, RI. Nicole Fantoni practices in Wakefield, RI and has the professional credentials of OD. The NPI Number for Nicole Fantoni is 1316030125 and holds a License No. ODTG00535 (RI). The current practice location address for Nicole Fantoni is 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553 and can be reached out via phone at 401-783-7009 and via fax at 401-789-3909.

Provider Profile Details

NPI Number
1316030125
Provider Name
Nicole Fantoni
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553
Phone Number
401-783-7009
Fax Number
401-789-3909
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2006
Last Update Date
September 21, 2022
Certification Date
September 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Hampton Way
Bldg#1a
Wakefield, RI 02879-2553
Zip
02879-2553
Phone Number
401-783-7009
Fax Number
401-789-3909
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
20 Hampton Way Ste 1A
Wakefield, RI 02879-2554
City
Wakefield
State
RI
Zip
02879-2554
Phone Number
401-783-7009
Fax Number
401-789-3909

License Information

License Number
ODTG00535
License State
RI
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Fantoni, OD?

The NPI number of Nicole Fantoni, OD is 1316030125. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole Fantoni, OD?

Nicole Fantoni, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00535.

Where does Nicole Fantoni, OD practice?

The practice location is 20 Hampton Way, Bldg#1a, Wakefield, RI 02879-2553. The office can be reached at 401-783-7009 (phone) or 401-789-3909 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316030125 directly on the NPPES registry website.

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