NICOLE FANTONI (O.D.) – Optometrist, NPI 1316030125

NICOLE FANTONI (O.D.) is a healthcare provider. based in Wakefield, Rhode Island. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODTG00535 (RI). The NPI Number for NICOLE FANTONI (O.D.) is 1316030125

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE FANTONI (O.D.)
NPI
1316030125
Phone
(401) 783-7009
Address
20 HAMPTON WAY STE 1A
Enumeration Date
2 October 2006
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4017837009
Graduation Year
1999 (27 years ago)
PAC ID
7719153592
Group Practice PAC ID
1153213921
Professional Enrollment ID
I20111228000374
Address ID
RI028792554WA20XXXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

225 OPTOMETRY in RI

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Provider Addresses for NICOLE FANTONI (O.D.)

  • 20 HAMPTON WAY STE 1A

    WAKEFIELD, RI 028792554

    Phone: (401) 783-7009

    Fax: (401) 789-3909

    Type: Mailing

  • 20, Hampton Way, Peacedale, South Kingstown, South County, Rhode Island, 02879, United States

    BLDG#1A

    WAKEFIELD, RI 028792553

    Phone: (401) 783-7009

    Fax: (401) 789-3909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $793.

Total Amount is formed as General ($793) + Research ($0) + Ownership ($0) = $793.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($271).

Total Amount

$793

General + Research + Ownership

Payments

36

Total payment records

General Amount

$793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111228000374IOptometryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system418415$0
92134Imaging of retina7372$0
92004New patient complete exam of visual system7070$0
92012Established patient problem focused exam of visual system6760$0
92133Imaging of optic nerve5048$0
View full utilization report →

Insurance plans in this area (ZIP 02879)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153213921View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YMA
-RI
O P H T H A L M O L O G YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI

Reviews

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Frequently asked questions

How is NICOLE FANTONI (O.D.) identified in CMS data?
CMS-hosted NPPES data lists NICOLE FANTONI (O.D.) with NPI 1316030125.
Is NICOLE FANTONI (O.D.) listed as active for patients and plans?
The listing shows NICOLE FANTONI (O.D.) as active in the NPI system.
What healthcare role does NICOLE FANTONI (O.D.) hold?
Scheduling teams often label NICOLE FANTONI (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is NICOLE FANTONI (O.D.) based?
NICOLE FANTONI (O.D.) is tied to Wakefield, Rhode Island in the data we show; additional addresses may exist on the full record.
Is the information about NICOLE FANTONI (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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