Individual provider Active NPI

Matthew Fierro, O.D.

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1457703191
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2134 Issued in AZ
Practice address
2156 E Williams Field Rd Ste 104
Gilbert, AZ 85295-0733
Phone
(480) 814-2584
Fax
(480) 963-9391
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2134 AZ Primary

Addresses

Primary practice location

2156 E Williams Field Rd Ste 104
Gilbert, AZ 85295-0733

Mailing address

2156 E Williams Field Rd Ste 104
Gilbert, AZ 85295-0733
Phone (480) 814-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 16, 2026 through Mar 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2134AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1457703191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 E WILLIAMS FIELD RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950733",
            "telephone_number": "480-814-2584",
            "fax_number": "480-963-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 E WILLIAMS FIELD RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950733",
            "telephone_number": "480-814-2584",
            "fax_number": "480-963-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERRO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.