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MARIEL JOSELIN MATA OD
NPI 1023847316
Optometrist in Fort Worth, TX

Active since July 26, 2024PECOS EnrolledAccepts Medicare Assignment
5832 BOAT CLUB RD, FORT WORTH, TX 76179(817) 237-7153(817) 595-6540 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariel Joselin Mata Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIEL JOSELIN MATA OD (NPI 1023847316) is an individual optometrist in Fort Worth, Texas, licensed in Texas (11540) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023847316
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARIEL JOSELIN MATACredential: OD
Location Address5832 BOAT CLUB RDFort Worth, TX 76179-7773
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(817) 237-7153
Fax(817) 595-6540
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 26, 2024
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1023847316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11540
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5832 BOAT CLUB RD, Fort Worth, TX 76179
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariel Joselin Mata Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941738926
PECOS Enrollment IDI20251007000556
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76179 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BILAL ISMAIL
Optometrist
5832 BOAT CLUB RD
FORT WORTH, TX 76179
Tarrant County (817) 237-7153
MED SOUTHWEST, PLLC
Optometrist
5832 BOAT CLUB RD
FORT WORTH, TX 76179
Tarrant County (817) 237-7153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariel Mata's NPI number?

The NPI number for Mariel Mata is 1023847316. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Mariel Mata located?

Mariel Mata practices at 5832 Boat Club Rd, Fort Worth, TX 76179. The listed phone number is (817) 237-7153.

What is Mariel Mata's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mariel Mata enrolled in Medicare?

Yes. Mariel Mata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mariel Mata accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Mariel Mata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariel Mata was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.