Organization Active NPI

Matthew T. Fostier, O.D., P.a.

  • Optometrist
  • Davie, FL
National Provider Identifier
1154627438
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4535 Issued in FL
Legal business name
MATTHEW T. FOSTIER, O.D., P.A.
Practice address
2826 S University Dr Apt 3202
Davie, FL 33328-1404
Phone
(407) 222-5869
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Matthew Thomas FostierNPI 1699081497
Title
President
Phone
(407) 222-5869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4535 FL Primary

Addresses

Primary practice location

2826 S University Dr Apt 3202
Davie, FL 33328-1404

Mailing address

2826 S University Dr Apt 3202
Davie, FL 33328-1404
Phone (407) 222-5869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000029 FL Part B Supplier - Clinic/Group Practice 0244415644 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield, FL

National Provider Directory

National Provider Directory

Locations

1050 NW 14th St
#104
Miami, FL 33136
Phone (305) 324-0490

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1154627438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 S UNIVERSITY DR APT 3202",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281404",
            "telephone_number": "407-222-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 S UNIVERSITY DR APT 3202",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281404",
            "telephone_number": "407-222-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW T. FOSTIER, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "FOSTIER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-222-5869",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.