FOUNTAIN ANTI-AGING
FOUNTAIN ANTI-AGING is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154834562, based in Lakewood, OH. It is classified under Ophthalmology Physician.
Getting there
The practice address on file is 892 BEACH RD, Lakewood, OH 44107. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 243058-1 | NY | Ophthalmology Physician primary |
| G142755 | CA | Ophthalmology Physician |
| 56673 | CT | Ophthalmology Physician |
| MD459908 | PA | Ophthalmology Physician |
Licences are recorded in 4 states: NY, CA, CT, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 4 states
This provider holds licences in 4 states: California, Connecticut, New York and Pennsylvania. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Ophthalmology covers
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NUCC Health Care Provider Taxonomy, code 207W00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | 243058-1 | NY | primary |
| 207W00000X | Ophthalmology Physician | G142755 | CA | |
| 207W00000X | Ophthalmology Physician | 56673 | CT | |
| 207W00000X | Ophthalmology Physician | MD459908 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1154834562 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 7, 2017 |
| Last updated | Mar 17, 2018 |
| Status | Active |
| Practice address |
892 BEACH RD Lakewood, OH 44107 (216) 233-8503 Fax (216) 373-0044 |
| Other identifiers |
0655189
(OH) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 8 | 3 | 4 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 7 | 3 | 8 | 5 | 3 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.