DR. MATTHEW J. FENSIN O.D.
NPI 1255460929
Optometrist in Miami, FL

Q: What is Matthew Fensin's NPI number?

The NPI number for Matthew Fensin is 1255460929. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Matthew Fensin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Fensin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since March 05, 2007PECOS Enrolled

13767 SW 152ND ST, MIAMI, FL 33177(305) 255-8822(305) 255-9507 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Matthew J. Fensin O.d. NPPES

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

DR. MATTHEW J. FENSIN O.D. (NPI 1255460929) is an individual optometrist in Miami, Florida, licensed in Florida (OPC1148) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255460929

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MATTHEW J. FENSINCredential: O.D.

Location Address13767 SW 152ND STMiami, FL 33177-8126

Mailing Address13767 Sw 152nd StMiami, FL 33177-8126 · (305) 255-8822 · Fax (305) 255-9507

Phone(305) 255-8822

Fax(305) 255-9507

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1255460929 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 · OPC1148

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.

13767 SW 152ND ST, Miami, FL 33177

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Other Identifiers 1

Medicare UPINT85190FL

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)

Dr. Matthew J. Fensin O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33177 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

DR. SHERYL A FENSIN D.D.S.

Dentist (General Practice)

13767 SW 152ND ST
MIAMI, FL 33177

Miami-Dade County (305) 255-8822

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 Matthew Fensin's NPI number?

The NPI number for Matthew Fensin is 1255460929. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Matthew Fensin located?

Matthew Fensin practices at 13767 SW 152nd St, Miami, FL 33177. The listed phone number is (305) 255-8822.

What is Matthew Fensin's specialty?

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

Is Matthew Fensin enrolled in Medicare?

Yes. Matthew Fensin is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Fensin 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 2 other insurers list Matthew Fensin 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 Matthew Fensin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.