Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY YVONNE FAYE KIERULF LISING OD
NPI 1689507063
Optometrist in Miami, FL

Active since June 05, 2026PECOS Enrolled
900 NW 17TH ST, MIAMI, FL 33136(800) 329-7000(305) 243-5274 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Yvonne Faye Kierulf Lising Od NPPES

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

MARY YVONNE FAYE KIERULF LISING OD (NPI 1689507063) is an individual optometrist in Miami, Florida, licensed in Florida (OPC7008) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689507063
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARY YVONNE FAYE KIERULF LISINGCredential: OD
Location Address900 NW 17TH STMiami, FL 33136-1134
Mailing Address200 Pulitzer DrHutto, TX 78634-2317 · (512) 963-7161
Fax(305) 243-5274
Sole ProprietorNo
Enumeration DateJune 5, 2026
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1689507063 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 · OPC7008
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.
900 NW 17TH ST, Miami, FL 33136

Other Names 1

Other Name (5)Yvonne Lising Od

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Yvonne Faye Kierulf Lising Od 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 33136 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 20

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

Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Specialist
900 NW 17TH ST, RM 27
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136

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 Mary Yvonne Faye Lising's NPI number?

The NPI number for Mary Yvonne Faye Lising is 1689507063. It was assigned to this individual provider in the NPPES registry on June 5, 2026. The provider is also known as Yvonne Lising Od.

Where is Mary Yvonne Faye Lising located?

Mary Yvonne Faye Lising practices at 900 NW 17th St, Miami, FL 33136. The listed phone number is (800) 329-7000.

What is Mary Yvonne Faye Lising's specialty?

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

Is Mary Yvonne Faye Lising enrolled in Medicare?

Yes. Mary Yvonne Faye Lising is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Yvonne Faye Lising was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.