DR. TATIANA SOPHIA MASTRIANO (OD) – Optometrist, NPI 1356190763

DR. TATIANA SOPHIA MASTRIANO (OD) is a healthcare provider. based in Palm city, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6688 (FL). The NPI Number for DR. TATIANA SOPHIA MASTRIANO (OD) is 1356190763

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. TATIANA SOPHIA MASTRIANO (OD)
NPI
1356190763
Phone
(954) 668-5811
Address
2080 SW CIMARRON CT
Enumeration Date
16 May 2024
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616254380
Graduation Year
2024 (2 years ago)
PAC ID
6709397920
Group Practice PAC ID
7719026285
Professional Enrollment ID
I20250616001464
Address ID
FL334583102JU451XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. TATIANA SOPHIA MASTRIANO (OD)

  • 2080 SW CIMARRON CT

    PALM CITY, FL 349905743

    Phone: (954) 668-5811

    Type: Mailing

  • 2660 SW IMMANUEL DR

    PALM CITY, FL 349902738

    Phone: (772) 283-1191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250616001464IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34990)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719026285View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do I look up DR. TATIANA SOPHIA MASTRIANO (OD) by NPI?
Use NPI 1356190763 when you need to reference DR. TATIANA SOPHIA MASTRIANO (OD) in forms, claims, or directories.
Is DR. TATIANA SOPHIA MASTRIANO (OD) active in the national directory?
DR. TATIANA SOPHIA MASTRIANO (OD)'s public NPI profile is in an active state.
Can you summarize DR. TATIANA SOPHIA MASTRIANO (OD)'s specialty in plain language?
Clinically, the directory lists DR. TATIANA SOPHIA MASTRIANO (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. TATIANA SOPHIA MASTRIANO (OD)'s primary listing?
We display Palm City, Florida because that is what the record indicates for DR. TATIANA SOPHIA MASTRIANO (OD).
What if Palm City, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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