Dr. Matthew J. Fensin, O.D.
Optometrist in Miami, FL. Individual provider (NPI-1).
NPI number1255460929
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1255460929
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew J. Fensin
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2007
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC1148 | FL | Yes |
Practice location
13767 Sw 152nd StMiami, FL 33177-8126
Phone 305-255-8822 · Fax 305-255-9507
Mailing address
13767 Sw 152nd StMiami, FL 33177-8126
Phone 305-255-8822 · Fax 305-255-9507
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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