DR. ADINA SETREN-GOULD O.D.
NPI 1326113226
Optometrist in Miami, FL

Q: What is Adina Setren-gould's NPI number?

The NPI number for Adina Setren-gould is 1326113226. It was assigned to this individual provider in the NPPES registry on November 24, 2006. The provider is also known as Dr. Adina Setren O.D..

Q: What is Adina Setren-gould's specialty?

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

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment

11865A SW 26 STREET, MIAMI, FL 33175(305) 552-9100(305) 552-1996 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Adina Setren-gould O.d. NPPES

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

DR. ADINA SETREN-GOULD O.D. (NPI 1326113226) is an individual optometrist in Miami, Florida, licensed in Florida (OPC 3743) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1326113226

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ADINA SETREN-GOULDCredential: O.D.

Location Address11865A SW 26 STREETMiami, FL 33175

Mailing Address11865a Sw 26 StreetMiami, FL 33175 · (305) 552-9100 · Fax (305) 552-1996

Phone(305) 552-9100

Fax(305) 552-1996

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1326113226 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 · OPC 3743

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.

11865A SW 26 STREET, Miami, FL 33175

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Other Names 1

Former Name (1)Dr. Adina Setren O.d.

Other Identifiers 3

Medicare UPINU97702FL

Medicare ID-Type UnspecifiedU1765AFL

Medicaid620880100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Adina Setren-gould O.d. 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 ID3779486790

PECOS Enrollment IDI20040128000756

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 3

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.

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.

75 services66 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.

67 services64 patients

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.

52 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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.

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 Adina Setren-gould's NPI number?

The NPI number for Adina Setren-gould is 1326113226. It was assigned to this individual provider in the NPPES registry on November 24, 2006. The provider is also known as Dr. Adina Setren O.D..

Where is Adina Setren-gould located?

Adina Setren-gould practices at 11865A SW 26 Street, Miami, FL 33175. The listed phone number is (305) 552-9100.

What is Adina Setren-gould's specialty?

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

Is Adina Setren-gould enrolled in Medicare?

Yes. Adina Setren-gould 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 Adina Setren-gould accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Adina Setren-gould 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 Adina Setren-gould was last updated on July 8, 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.