Active NPI
Fernando A. Arteaga, O.D.
- Optometrist
- Ridley Park, PA
National Provider Identifier
1700945805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000306
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 619840 | Other | PA | IBC |
| 619840 | Other | PA | HIGHMARK BS |
| 2543183 | Other | AETNA | |
| 687877411001 | Other | CIGNA | |
| 0824068000 | Other | PA | KHPE |
| 36784004 | Other | DAVIS VISION | |
| P11159545 | Other | MULTIPLAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110202000006 | PA | Practitioner - Optometry | 3173663192 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000306 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Starer Rizzo Ruffini Ophthalmic Associates, P.C. | Past | 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
- 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.
-
- Optometrist
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- NPI 1063579837
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
-
- Ophthalmology Physician
- Eddystone, PA
- NPI 1982763124
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.