Individual provider Active NPI

Mary Yvonne Faye Kierulf Lising, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1689507063
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC7008 Issued in FL
Practice address
900 NW 17TH St
Miami, FL 33136-1134
Phone
(800) 329-7000
Fax
(305) 243-5274
NPI assigned
Jun 5, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC7008 FL Primary

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1134

Mailing address

200 Pulitzer Dr
Hutto, TX 78634-2317
Phone (512) 963-7161

Other names 1

  • Yvonne Lising Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, shared by 5 NPIs, 2,346 clinicians

Practice addresses (Care Compare)

900 NW 17TH St
Ableh/Bpei
Miami, FL 33136-1119
Phone (305) 243-6857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1689507063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PULITZER DR",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786342317",
            "telephone_number": "512-963-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361134",
            "telephone_number": "800-329-7000",
            "fax_number": "305-243-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISING",
        "first_name": "MARY YVONNE FAYE",
        "middle_name": "KIERULF",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC7008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "LISING",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.