Individual provider Active NPI

Fernando A. Arteaga, O.D.

  • Optometrist
  • Ridley Park, PA
National Provider Identifier
1700945805
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000306 Issued in PA
Practice address
8 Morton Ave
Suite 101
Ridley Park, PA 19078-2210
Phone
(610) 521-2111
Fax
(610) 521-3048
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000306 PA Primary

Addresses

Primary practice location

8 Morton Ave
Suite 101
Ridley Park, PA 19078-2210

Mailing address

331 N York Rd
Hatboro, PA 19040-2033
Phone (215) 672-4300

Other identifiers 7

IdentifierTypeStateIssuer
619840OtherPAIBC
619840OtherPAHIGHMARK BS
2543183OtherAETNA
687877411001OtherCIGNA
0824068000OtherPAKHPE
36784004OtherDAVIS VISION
P11159545OtherMULTIPLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110202000006 PA Practitioner - Optometry 3173663192 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000306PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Nov 16, 2019 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 16, 2019 Accepting new patients
Starer Rizzo Ruffini Ophthalmic Associates, P.C. PastSince May 13, 1991 Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/dj22km59

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1700945805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N YORK RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402033",
            "telephone_number": "215-672-4300",
            "fax_number": "215-672-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORTON AVE",
            "address_2": "SUITE 101",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782210",
            "telephone_number": "610-521-2111",
            "fax_number": "610-521-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEAGA",
        "first_name": "FERNANDO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "619840",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "619840",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2543183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "687877411001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "0824068000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "36784004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P11159545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

Verify at the official NPI Registry.