MARIEL JOSELIN MATA OD
NPI 1023847316
Optometrist in Fort Worth, TX
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mariel Mata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76179
- Reassigned Medicare billing, Texas enrollment
- 396 clinicians in this Medicare group
Colonia, NJ 07067
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Deyongs Eyeworld LLC
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Mariel Mata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariel Mata reassigns Medicare benefits to 2 organizations: Med Southwest, PLLC (Fort Worth, TX) and Deyong's Eyeworld LLC (Colonia, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariel Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 13 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 12 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.
# Mariel Joselin Mata, OD · NPI 1023847316
Optometrist provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since July 26, 2024.
## Identity
- **NPI:** 1023847316 (Entity type: Individual)
- **Enumerated:** July 26, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 11540 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5832 BOAT CLUB RD, Fort Worth, TX 76179-7773
- **Phone:** (817) 237-7153 · **Fax:** (817) 595-6540
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Med Southwest, PLLC (NPI 1588203434, Fort Worth, TX); Deyong's Eyeworld LLC (NPI 1396012910, Colonia, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023847316) · Data from the CMS NPPES public registry.