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CARLO DANIEL FODOR O.D.
NPI 1205020864
Optometrist in Sebastian, FL

Active since August 28, 2007PECOS Enrolled
1619 US HIGHWAY 1, SEBASTIAN, FL 32958(772) 388-9330(772) 388-3036 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlo Daniel Fodor O.d. NPPES

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

CARLO DANIEL FODOR O.D. (NPI 1205020864) is an individual optometrist in Sebastian, Florida, licensed in Florida (OPC003794) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2003).

NPPES Registry Identity

NPI1205020864
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCARLO DANIEL FODORCredential: O.D.
Location Address1619 US HIGHWAY 1Sebastian, FL 32958-3834
Mailing Address1619 Us Highway 1Sebastian, FL 32958-3834 · (772) 388-9330 · Fax (772) 388-3036
Phone(772) 388-9330
Fax(772) 388-3036
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2003
Enumeration DateAugust 28, 2007
✔ NPI 1205020864 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 FL · OPC003794
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.

1619 US HIGHWAY 1, Sebastian, FL 32958
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Other Identifiers 2

Medicare PIN23010AFL
Medicare UPINU97656FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Carlo Daniel Fodor O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143122671
PECOS Enrollment IDI20040126000671
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
71 services69 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
54 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services24 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
45 services41 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
40 services26 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32958 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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

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

BUENA VISTA EYELAND INC
Optometrist
1619 US HIGHWAY 1
SEBASTIAN, FL 32958
Indian River County (772) 388-9330

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 Carlo Fodor's NPI number?

The NPI number for Carlo Fodor is 1205020864. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Carlo Fodor located?

Carlo Fodor practices at 1619 Us Highway 1, Sebastian, FL 32958. The listed phone number is (772) 388-9330.

What is Carlo Fodor's specialty?

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

Is Carlo Fodor enrolled in Medicare?

Yes. Carlo Fodor is registered in the Medicare PECOS enrollment system.

What insurance does Carlo Fodor accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Carlo Fodor 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 Carlo Fodor was last updated on August 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.