Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Albert Fonticoba, OD

Individual provider Optometrist · NPI 1093710402

Dr. Albert Fonticoba, OD is an Optometry in Philadelphia, Pennsylvania. Graduated from Pennsylvania College of Optometry in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
37
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

330 W Oregon Ave
Philadelphia, PA 19148-4723
Phone: (215) 463-5889
Fax: (215) 755-6959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG000907 (PA)

Record details

NPI number1093710402
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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